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What is D.h.e.45 (Dihydroergotamine - Inj) ?

Can I buy D.h.e.45 without Health Insurance, Medicare or Medicaid? Check and see if we carry D.h.e.45 in our prescription list!

What Alternate Names Are There For D.h.e.45? Dihydroergotamine Mesylate

How is D.h.e.45 (Dihydroergotamine - Inj) Pronounced? dye-HI-dro-er-GOT-uh-meen

Who is the Manufacturer of D.h.e.45? Xcel Pharm.

What is D.h.e.45 Used For? Dihydroergotamine is used to treat migraine headaches and cluster headaches. It is not recommended for migraines affecting only one side of the brain (hemiplegic migraine), the base of the brain/neck area (basilar migraine), or to prevent migraines from occurring.

How To Use D.h.e.45
Learn how to prepare and inject D.h.e.45 and review the dihydroergotamine Patient Information Sheet with your doctor or pharmacist. Inject D.h.e.45 into a vein (IV), into a muscle (IM), or under the skin (SC), as directed by your doctor. The dosage is based on your medical condition and response to therapy. If your headache returns or you have no relief from the first dose, the dose may be repeated 1 hour after the first dose; but only if instructed to do so by your doctor. If giving D.h.e.45 by the IM or SC route, a third dose may be given, if needed, 1 hour after the second dose. If any of the dosing information is unclear, consult your doctor or pharmacist. If given IM or SC, do not exceed 3 ml of D.h.e.45 in a 24-hour time period. If given IV, do not exceed 2 ml of D.h.e.45 in a 24-hour time period. Do not use daily on a regular basis. Do not exceed giving 6 ml of D.h.e.45 in a one-week time period. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Avoid eating grapefruit or drinking grapefruit juice while using D.h.e.45 unless your doctor instructs you otherwise. Learn how to store and discard needles and medical supplies safely. Consult your pharmacist.

D.h.e.45 Side Effects
Dizziness, drowsiness, headache, nausea, vomiting, diarrhea, flushing, or increased sweating may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these unlikely but serious side effects occur: swelling, itching, trouble breathing, mental/mood changes (e.g., anxiety), tingling or numbness of the hands/feet, rash, stomach pain. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: muscle pain, chest pain, muscle weakness, unusually fast or slow heartbeat, one-sided weakness, vision problems, slurred speech, confusion. If you notice other effects not listed above, contact your doctor or pharmacist.

D.h.e.45 Precautions
D.h.e.45 is not recommended for use if you have the following medical conditions: certain types of heart problems (e.g., ischemic heart disease including angina and heart attacks), uncontrolled high blood pressure, severe blood infections (sepsis), recent blood vessel surgery, blood vessel/circulation problems (e.g., coronary artery disease, peripheral artery disease), severe liver or kidney disease. Tell your doctor your medical history, especially of: liver problems, kidney problems, stroke, high blood pressure, diabetes, high cholesterol, stomach/intestinal problems (e.g., ischemic bowel syndrome), family history of heart disease, tobacco use, any allergies (especially to ergot migraine drugs such as ergotamine). D.h.e.45 may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages; alcohol may also make your headaches worse. D.h.e.45 must not be used in pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. D.h.e.45 passes into breast milk and has had undesirable effects on nursing infants. Breast-feeding while using D.h.e.45 is not recommended.

D.h.e.45 Drug Interactions
D.h.e.45 is not recommended for use with: weight loss medicine (e.g., fenfluramine, sibutramine), triptan migraine drugs (e.g., sumatriptan, zolmitriptan), efavirenz. Ask your doctor or pharmacist for more details. Tell your doctor of all prescription and nonprescription medication you may use, especially: decongestants (e.g., pseudoephedrine), nitrate heart medicine (e.g., isosorbide, nitroglycerin), dopamine, certain asthma medications (e.g., albuterol, salmeterol), beta blockers (e.g., metoprolol, propranolol), nicotine-containing products (e.g., tobacco or nicotine patches), SSRI antidepressants (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline), nefazodone, fluconazole, zileuton, clotrimazole, other mild CYP 3A4 enzyme inhibitors. Also see Warning section for additional drug interaction information. Do not start or stop any medicine without doctor or pharmacist approval.

D.h.e.45 Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: vomiting, slow or shallow breathing, cold/pale or blue-colored hands/feet, seizures.

Missed D.h.e.45 Dose
Not applicable.

D.h.e.45 Storage
Store at room temperature between 59 and 77 degrees F (15 and 25 degrees C) away from light and moisture. Do not refrigerate or freeze this product.

Generic and Namebrand Variations
Label Name	Unit	Package	Color	Shape	Flavor	NDC
D.h.e.45 1mg/ml Ampul		Ampul				00247093001
D.h.e.45 1mg/ml Ampul	Ml	Ampul				00078004101
D.h.e.45 1mg/ml Ampul	Ml	Ampul				66490004101
Dihydroergotamine 1mg/ml Am	Ea	Ampul	Colorless			00574085005

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