Eletriptan and Ergotamine and caffeine interaction

Eletriptan and Ergotamine and caffeine: the Eletriptan prescribing label flags 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

From the Eletriptan (Relpax) label · effective 2024-01-15

Major

• Recent use (i.e., within 24 hours) of another 5-hydroxytryptamine 1 (5-HT 1 ) agonist, ergotamine-containing medication, or ergot-type medication such as dihydroergotamine (DHE) or methysergide [see Drug Interactions (7.1) ] .

Contraindicationsnames Ergotamine and caffeineView label on DailyMed
Major

• Within 24 hours of treatment with another 5-HT 1 agonist, or an ergotamine-containing medication ( 4 )

Contraindicationsnames Ergotamine and caffeineView label on DailyMed
Major

Because these effects may be additive, use of ergotamine-containing or ergot-type medications (like dihydroergotamine [DHE] or methysergide) and RELPAX within 24 hours of each other is contraindicated .

Drug interactionsnames Ergotamine and caffeineView label on DailyMed
Moderate

Ergot-Containing Drugs Including Other 5-HT 1B/1D Agonists Ergot-containing drugs have been reported to cause prolonged vasospastic reactions.

Drug interactionsby drug classView label on DailyMed
Minor

Medication Overuse Headache Overuse of acute migraine drugs (e.g., ergotamine, triptans, opioids, or combination of these drugs for 10 or more days per month) may lead to exacerbation of headache (medication overuse headache).

Warnings and precautionsnames Ergotamine and caffeineView label on DailyMed

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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.