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Drug reference

ergotamine

Ergot alkaloid · Antiadrenergic

Ergot alkaloidAntiadrenergic
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
4 major
incl. contraindicated
PREGNANCY
—
not curated
Top interactionssee all 6 →
  • SumatriptanContraindicatedTextbookKDT 7e · p179
  • ClarithromycinContraindicatedDatabaseDDInter
  • ItraconazoleContraindicatedDatabaseDDInter
  • RitonavirContraindicatedDatabaseDDInter

Mechanism

Ergotamine is a partial agonist and antagonist at α adrenergic, serotonergic, and dopaminergic receptors.

Indications

Migraine

Drug interactions

Sumatriptan
Contraindicated
Textbook

Increased risk of serious vasoconstrictive adverse effects, including coronary vasospasm and myocardial infarction.

Do not administer sumatriptan and ergotamine within 24 hours of each other.

Source: KDT 7e · p179

Clarithromycin
Contraindicated
Database

Ergotism: severe peripheral vasospasm, ischemia of extremities, gangrene

Absolutely contraindicated. Use alternative antibiotic or alternative migraine therapy

Source: DDInter

Itraconazole
Contraindicated
Database

Ergotism

Contraindicated.

Source: DDInter

Ritonavir
Contraindicated
Database

Ergotism: severe peripheral vasospasm, gangrene

Never combine. Use alternative migraine therapy.

Source: DDInter

Erythromycin
Moderate
Textbook

Rise in plasma levels of ergotamine.

Source: KDT 7e · p753

Azithromycin
Moderate
Database

Increased plasma concentrations of ergot alkaloids, leading to ergotism (vasospasm, ischemia of extremities).

Avoid co-administration. If unavoidable, monitor closely for signs of ergotism. Consider alternative treatments.

Source: DDInter

1 additional unreviewed or low-confidence interaction hidden because their provenance or source detail is insufficient.

Related guidelines

Other Ergot alkaloid drugs

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Textbook-sourced·Sources: KD Tripathi 7e·Updated: 2026-05-10