Do not take this medicine with any of the following medications:

-certain antibiotics like clarithromycin, erythromycin, or troleandomycin
-certain antivirals for HIV or hepatitis
-conivaptan
-grapefruit juice
-imatinib
-medicines for fungal infections like itraconazole, ketoconazole, and voriconazole
-medicines used to treat migraines like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan
-nefazodone
-other ergot alkaloids like ergotamine, dihydroergotamine
This medicine may also interact with the following medications:

-certain medicines for blood pressure, heart disease, irregular heart beat
-clotrimazole
-decongestants like phenylephrine and pseudoephedrine
-fluconazole
-fluoxetine
-fluvoxamine
-medicines used for surgery
-nitrates like nitroglycerin
-pseudoephedrine
-stimulant medicines 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 medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

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

This medicine is given in a hospital or clinic. It will not be stored at home.