Dihydroergotamine and St. John's wort interaction

Dihydroergotamine and St. John's wort: NIH and FDA consumer guidance flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

Curated guidance for St. John's wort

Major

Combining St. John's wort with antidepressants and other serotonergic drugs increases the risk of serotonin syndrome.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.