You should not use this medicine if you have had an allergic reaction to ergotamine or caffeine, or if you are pregnant or plan to become pregnant. You should not use this medicine if you have high blood pressure, kidney disease, liver disease, heart disease, blood vessel disorders, or problems with circulation
Uses:
Suppository
Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. Never take rectal suppositories by mouth.
Wash your hands with soap and water before using this medicine. Remove the foil or wrapper from the suppository before inserting it.
To make the suppository easier to insert, you may use a lubricating gel such as K-Y® Jelly, but do not use petroleum jelly (Vaseline®).
Lie on your left side with your left leg straight or slightly bent, and your right knee bent upward. Gently push the pointed end of the suppository into the rectum about 1 inch.
Keep lying down for about 15 minutes to keep the suppository from coming out before it melts. Then, wash your hands again.
Storage:
Store this medicine at room temperature, away from heat and direct light. Follow the directions on the medicine package label about storing the suppositories in the refrigerator, but do not freeze them.
Keep all medicine out of the reach of children and never share your medicine with anyone.
Special precautions:
Before taking, tell your doctor and pharmacist if you are allergic to any medications. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. tell your doctor if you have or have ever had heart failure or liver disease. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking, call your doctor
Make sure your doctor knows if you are also using dopamine (Intropin®), sibutramine (Meridia®), antibiotics (such as Biaxin®, Dynabac®, Ery-Tab®), blood pressure medicine (such as atenolol, metoprolol, Inderal®, Toprol®), medicines to treat HIV/AIDS (Agenerase®, Crixivan®, Invirase®, Norvir®, Rescriptor®, Sustiva®, Viracept®), or other medicines to treat migraine headaches (Amerge®, Imitrex®, Maxalt®, Zomig™).
Do not drink alcohol while you are using this medicine. Avoid caffeine (coffee, tea, soft drinks, chocolate).
Smoking may make your headaches worse or increase the side effects of this medicine.
Warnings:
Make sure your doctor knows if you are breastfeeding, or if you have a stomach ulcer, glaucoma, or history of a stroke.
If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.
Side Effects:
Tell your doctor if any of these symptoms are severe or do not go away:
Fast or slow heartbeat
Lightheadedness or fainting
Numbness or tingling in your fingers or toes
Pain or discomfort behind your breastbone
Pain, itching, or irritation around your rectum
Skin rash, swelling, or itching
Vomiting, numbness, tingling feeling, or pain and blue discoloration of your hands and feet
