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What the FDA labels say about taking them together

Dihydroergotamine and fosamprenavir

Fosamprenavir's FDA label of September 15, 2023 names dihydroergotamine in its contraindications section; the dihydroergotamine labels PlainMeds reads (4) do not name fosamprenavir. The fosamprenavir label: “Coadministration is contraindicated due to potential for serious and/or life-threatening reactions such as acute ergot toxicity characterized by peripheral vasospasm and ischemia of the extremities and other tissues.”

Check it at the source: the dihydroergotamine FDA label on DailyMed (effective March 6, 2025, Oceanside Pharmaceuticals); the fosamprenavir FDA label on DailyMed (effective September 15, 2023, Mylan Pharmaceuticals Inc.).

What does the dihydroergotamine label say about fosamprenavir?

Dihydroergotamine's label (effective March 6, 2025) and its 3 other brand-application labels do not name fosamprenavir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Dihydroergotamine Mesylate), NDA020148 (Bausch), as published by Oceanside Pharmaceuticals, effective March 6, 2025 (SPL set 977de209-c53a-4cb4-9f3f-1e850600a9dc), via openFDA; the full label on DailyMed

What does the fosamprenavir label say about dihydroergotamine?

Fosamprenavir label, contraindications

Rifampin o Antipsychotic: Lurasidone (with ritonavir ), pimozide o Ergot derivatives: Dihydroergotamine, ergonovine, ergotamine, methylergonovine o GI motility agent:

Fosamprenavir label, drug interactions

Concomitant Drug Class/Drug Name: Ergot derivatives: Dihydroergotamine, ergonovine, ergotamine, methylergonovine; Effect on Concentration of Amprenavir or Concomitant Drug: ↑ Ergot derivatives; Clinical Comment: Coadministration is contraindicated due to potential for serious and/or life-threatening reactions such as acute ergot toxicity characterized by peripheral vasospasm and ischemia of the extremities and other tissues [see ].

Source: FDA drug label (Fosamprenavir Calcium), Mylan Pharmaceuticals Inc., effective September 15, 2023 (SPL set 3a1424d8-844c-4e24-9ebd-b2c2b61b61a3), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

9Dihydroergotamine generic labelers
2Fosamprenavir generic labelers
DihydroergotamineFosamprenavir
Labeled forMigraineHIV
Boxed warningYesNo
Pharmacy cost (NADAC)$29.44 per mL 4 mg/mL nasal sprayn/a
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?