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What the FDA labels say about taking them together

Dihydroergotamine and posaconazole

Posaconazole's FDA label of August 3, 2026 names dihydroergotamine in its contraindications section; the dihydroergotamine labels PlainMeds reads (4) do not name posaconazole. The posaconazole label: “Noxafil may increase the plasma concentrations of ergot alkaloids which may lead to ergotism.”

Check it at the source: the dihydroergotamine FDA label on DailyMed (effective March 6, 2025, Oceanside Pharmaceuticals); the posaconazole FDA label on DailyMed (effective August 3, 2026, Aurobindo Pharma Limited).

What does the dihydroergotamine label say about posaconazole?

Dihydroergotamine's label (effective March 6, 2025) and its 3 other brand-application labels do not name posaconazole 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 posaconazole label say about dihydroergotamine?

Posaconazole label, contraindications

Posaconazole delayed-release tablets may increase the plasma concentrations of ergot alkaloids (ergotamine and dihydroergotamine) which may lead to ergotism [see Drug Interactions (7.2) ].

Source: FDA drug label (Noxafil, NDA022003), Merck Sharp & Dohme LLC, effective February 13, 2026 (SPL set b073b082-7b57-4423-8c06-4fd4263d6f84), via openFDA

Source: FDA drug label (POSACONAZOLE), Aurobindo Pharma Limited, effective August 3, 2026 (SPL set f8a26673-261c-4e8e-b1e1-9e23aaf7f285), 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
27Posaconazole generic labelers
DihydroergotaminePosaconazole
Labeled forMigraineFungal infections
Boxed warningYesNo
Pharmacy cost (NADAC)$29.44 per mL 4 mg/mL nasal spray$2.03 per tablet 100 mg tablet
Shortage nowNo current entryA presentation being discontinued

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

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