What is Migranal: Uses, Warnings & Interactions

How to take Migranal

• Your doctor will prescribe your exact dose. Use this medicine as directed.

• Nasal routeThis medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.

• Do not prepare the spray until you are ready to use it. After you prepare the spray, you must use the medicine within 8 hours.

• Prime the spray before you use it. To do this, pump the bottle 4 times until some of the medicine sprays out. Now it is ready to use.

• Each spray vial contains 1 complete dose of medicine and should be used for only 1 migraine attack. Throw away any leftover medicine.

• Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

• Missed dose: Dihydroergotamine is used only when you have a migraine. It is not used on a regular schedule.

• Store the medicine at room temperature, away from heat and direct light. Do not refrigerate or freeze.

• Injection routeThrow away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

• Store the medicine at room temperature, away from heat and direct light. Do not refrigerate or freeze.

• Each spray vial contains 1 complete dose of medicine and should be used for only 1 migraine attack. Throw away any leftover medicine.

• Nasal routeThis medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.

• Injection routeThrow away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

• Do not prepare the spray until you are ready to use it. After you prepare the spray, you must use the medicine within 8 hours.

• Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

• Prime the spray before you use it. To do this, pump the bottle 4 times until some of the medicine sprays out. Now it is ready to use.

• Missed dose: Dihydroergotamine is used only when you have a migraine. It is not used on a regular schedule.

• Your doctor will prescribe your exact dose. Use this medicine as directed.

What to do if you miss a dose of Migranal

Migranal contraindications

• This medicine is not right for everyone. Do not use it if you had an allergic reaction to dihydroergotamine or medicines that contain ergotamine or ergot. Do not use if you are pregnant or breastfeeding, or if you have heart or blood vessel disease, angina, or a recent heart attack.

Migranal warnings

• This medicine helps stop migraine headaches. It does not relieve pain or stop other kinds of headaches.

• It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.

• Tell your doctor if you have kidney or liver disease, high blood pressure, high cholesterol, or diabetes. Tell your doctor if you have a history of stroke or a family history of heart disease. Tell your doctor if you smoke.

• This medicine may cause the following problems: Risk of heart attack or heart rhythm problems (rare)Increased blood pressureHigher risk of stroke

• This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Migranal interactions

• Do not use clarithromycin, erythromycin, indinavir, itraconazole, ketoconazole, nelfinavir, ritonavir, or troleandomycin while you are using dihydroergotamine.

• Tell your doctor if you use other medicine to treat migraines, such as sumatriptan. You should not use sumatriptan or other ergot medicines within 24 hours of using dihydroergotamine.

• Some medicines can affect how dihydroergotamine works. Tell your doctor if you are using clotrimazole, fluconazole, fluoxetine, fluvoxamine, nefazodone, saquinavir, zileuton, or blood pressure medicine (such as propranolol).

• Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

• This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.