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What the FDA labels say about taking them together

Dihydroergotamine and nefazodone

Dihydroergotamine's FDA label of March 6, 2025 names nefazodone in its warnings section; the nefazodone label PlainMeds reads does not name dihydroergotamine.

Check it at the source: the dihydroergotamine FDA label on DailyMed (effective March 6, 2025, Oceanside Pharmaceuticals); the nefazodone FDA label on DailyMed (effective July 31, 2025, Teva Pharmaceuticals USA, Inc.).

What does the dihydroergotamine label say about nefazodone?

Dihydroergotamine label, warnings

Less potent inhibitors include saquinavir, nefazodone, fluconazole, grapefruit juice, fluoxetine, fluvoxamine, zileuton, and clotrimazole.

Source: FDA drug label (Trudhesa, NDA213436), Impel Pharmaceuticals LLC, effective September 3, 2026 (SPL set b81397b0-910d-4eb4-8fee-a9a3c9d94d63), via openFDA

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 nefazodone label say about dihydroergotamine?

Nefazodone's label (effective July 31, 2025) does not name dihydroergotamine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Nefazodone Hydrochloride), Teva Pharmaceuticals USA, Inc., effective July 31, 2025 (SPL set 51ff7db5-aaf9-4c3c-86e6-958ebf16b60f), 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
2Nefazodone generic labelers
DihydroergotamineNefazodone
Labeled forMigraineDepression
Boxed warningYesYes
Pharmacy cost (NADAC)$29.44 per mL 4 mg/mL nasal spray$1.17 per tablet 100 mg tablet
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?