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This move for reform caused new headaches for pharmaceutical manufacturers large and small, sandoz had shipments of cafergot or ergotamine sulfate and caffeine suppositories seized in 1989, and lost its case to exempt the drug under the 1962 grandfather clause the same year.

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What should I discuss with my healthcare provider before using caffeine and ergotamineCafergotMigergot

Tell all of your health care providers that you take Cafergotergotamine and caffeine tabletsThis includes your doctorsnursespharmacistsand dentistsIf you drink grapefruit juice or eat grapefruit oftentalk with your doctorThis medicine is not meant for regulardaily useTalk with the doctorDo not use more than what your doctor told you to useDo not use more often or longer than what you were toldDoing any of these things may raise the chance of very bad side effectsUse care if you have risks for heart diseasehigh blood pressurehigh cholesteroloverweighthigh blood sugar or diabetescigarette smokingman older than 40 years of ageother family members with early heart diseasewoman after change of lifeTalk with your doctorLimit your use of caffeinefor exampleteacoffeecolaand chocolateUse with Cafergotergotamine and caffeine tabletsmay cause nervousnessshakinessand a fast heartbeatThis medicine may cause harm to the unborn baby if you take it while you are pregnantIf you are pregnant or you get pregnant while taking Cafergotergotamine and caffeine tabletscall your doctor right away.

Ergotamine and caffeine are used together to treat migraine headache with or without auraErgotamine works by constricting blood vessel walls in the headrelieving dilation that causes the pain of migraine headachesCaffeine helps the ergotamine to be absorbed into the bloodstream more effectively.

Signs of an allergic reactionlike rashhivesitchingredswollenblisteredor peeling skin with or without feverwheezingtightness in the chest or throattrouble breathingswallowingor talkingunusual hoarsenessor swelling of the mouthfacelipstongueor throatSigns of high blood pressure like very bad headache or dizzinesspassing outor change in eyesightChest pain or pressureFast or slow heartbeatA heartbeat that does not feel normalSwellingDizziness or passing outMuscle pain or weaknessChange in color of hands or feet from pale to blue or redNumbnesspaintinglingor cold feeling of the hands or feetAny sores or wounds on the fingers or toes.

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