Drug interactions
Frovatriptan + Methylergonovine
Severity: Contraindicated
Frovatriptan and Methylergonovine: contraindicated interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Methylergonovine is an ergot alkaloid with strong vasoconstrictor activity, and combining it with a triptan can cause prolonged vasospasm. This can lead to ischemia and hypertension.
What this interaction means in plain words
Frovatriptan and Methylergonovine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Why it happens
Additive vasoconstriction from ergot alkaloid and 5-HT1B/1D agonist effects.
What to do
Do not use within 24 hours of each other. Use alternative uterotonic or migraine therapy.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Frovatriptan
- Almotriptan + Frovatriptan Contraindicated
- Dihydroergotamine intranasal + Frovatriptan Contraindicated
- Dihydroergotamine + Frovatriptan Contraindicated
- Eletriptan + Frovatriptan Contraindicated
- Ergoloid mesylates + Frovatriptan Contraindicated
- Ergotamine + Frovatriptan Contraindicated
Frequently asked questions
Can I take Frovatriptan with Methylergonovine?
MediHelp rates the interaction as contraindicated. Frovatriptan and Methylergonovine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Methylergonovine is an ergot alkaloid with strong vasoconstrictor activity, and combining it with a triptan can cause prolonged vasospasm. This can lead to ischemia and hypertension.
How serious is the interaction between Frovatriptan and Methylergonovine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use within 24 hours of each other. Use alternative uterotonic or migraine therapy.
What other medicines interact with Frovatriptan?
MediHelp also lists interactions of Frovatriptan with, for example, Almotriptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Frovatriptan page.
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