Do not take this medication with any of the following:
-Certain antibiotics, such as clarithromycin, erythromycin, or troleandomycin
-Certain antivirals for HIV or hepatitis
-Conivaptan
-Grapefruit juice
-Imatinib
-Medications for fungal infections, such as itraconazole, ketoconazole, and voriconazole
-Medications used to treat migraines, such as almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan
-Nefazodone
-Other ergot alkaloids, such as ergotamine, dihydroergotamine
This medication may also interact with the following:
-Certain medications for blood pressure, heart disease, irregular heartbeat
-Clotrimazole
-Decongestants, such as phenylephrine and pseudoephedrine
-Fluconazole
-Fluoxetine
-Fluvoxamine
-Medications used for surgery
-Nitrates, such as nitroglycerin
-Stimulant medications for attention disorders, weight loss, or staying awake
-Zileuton

They need to know if you have any of these conditions:
-Circulation problems
-Heart disease
-High blood pressure
-Infection
-Kidney disease
-Liver disease
-An unusual or allergic reaction to methylergonovine, ergot alkaloids, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. Follow the instructions of your care team after childbirth.
Do not breast-feed while taking this medication and for 12 hours after the last dose. Talk to your care team for more information.

Keep out of the reach of children and pets.
Store at room temperature below 25 degrees C (77 degrees F). Protect from light. Keep the container tightly closed. Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.