Cafergot combines two active ingredients ergotamine and caffeine. The former works by narrowing the blood vessels around the brain, while caffeine helps the main active ingredient to get absorbed better. This combination is used for preventing migraine headaches or treating those. It should not be used for other types of headaches. You should not be using Cafergot if you are allergic to other ergot drugs, such as methysergide, methylergonovine, dihydroergotamine or ergonovine. You should not be using Cafergot if you have a history of heart disease, coronary artery disease, a history of a heart attack or stroke, blood circulation problems, severe liver disease, severe kidney disease, chest pain or uncontrolled high blood pressure. Combining Cafergot with the following drugs can cause very dangerous interactions and should be avoided: dalfopristin, isoniazid, voriconazole, ketoconazole, antidepressants, erythromycin, HIV/AIDS medicine, itraconazole, diclofenac, troleandomycin, diltiazem, clarithromycin, telithromycin, imatinib, verapamil, clotrimazole, conivaptan or quinidine. Your doctor will inform you if there are any other things you need to keep in mind when you start the treatment.
You will need to talk to your doctor before starting the treatment. You may require adjustments of your dose or special tests if you have certain health problems, such as family history of coronary artery disease, breathing problems, kidney disease, high cholesterol, high blood pressure, liver disease, coronary artery disease, high blood pressure or diabetes. Your doctor will need to know if you are using any of the following medications: labetalol, atenolol, stimulants, nitrate medicines, metoprolol, carvedilol, sotalol, nefazodone, fluoxetine, sertraline, cold or allergy medications, paroxetine, fluvoxamine, birth control pills, nicotine, propranolol, zileuton, ADHD medicine or diet pills. At least 24 hours are supposed to pass following your dose of any other medicine like Cafergot, such as ergonovine, methysergide, dihydroergotamine, rizatriptan, methylergonovine, eletriptan, frovatriptan, almotriptan, zolmitriptan or sumatriptan. An overdose of Cafergot may cause lethal health consequences. You need to seek emergency medical help if you have taken too much of Cafergot and have vomiting, drowsiness, fainting, blue-colored fingers or toes, weak pulse, tingling, seizure, confusion or numbness.
Cafergot is not for daily use. You will have to be taking it as needed. You will need to let your doctor know if your medicine stops working for you or does not relieve the symptoms as well. You need to take 2 Cafergot tablets when the first symptoms of headache appear. You may need to take another tablet if after half an hour if the symptoms are not gone or the headache is in progress. You can keep taking the medicine until you have taken the maximum of 6 tablets. You should not take more than 6 tablets of Cafergot daily or more than 10 tablets over the period of one week. You will need to stop the use of Cafergot if you get any serious side effects sudden weakness, leg weakness, confusion, trouble breathing, blue-colored fingers or toes, sudden numbness, urinating less than usual, balance problems, severe pain in your stomach, muscle pain, fast or slow heart rate, swelling or itching, numbness or tingling, sudden headache, cough with stabbing chest pain or problems with vision, while mild side effects such as weakness, vomiting, nausea, dizziness, spinning sensation or mild itching usually go away on their own.
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