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What the FDA labels say about taking them together

Ergotamine and voriconazole

Voriconazole's FDA label of February 26, 2026 names ergotamine in its contraindications section; the ergotamine label PlainMeds reads does not name voriconazole. The voriconazole label: “Coadministration of Voriconazole for injection with ergot alkaloids is contraindicated because Voriconazole for injection may increase the plasma concentration of ergot alkaloids, which may lead to ergotism.”

Check it at the source: the ergotamine FDA label on DailyMed (effective February 25, 2025, Pangea Pharmaceuticals LLC); the voriconazole FDA label on DailyMed (effective February 26, 2026, Roerig).

What does the ergotamine label say about voriconazole?

Ergotamine's label (effective February 25, 2025) does not name voriconazole in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Ergomar Sublingual), Pangea Pharmaceuticals LLC, effective February 25, 2025 (SPL set a9582fdb-7ddd-4f69-aa7a-66247cdb8c92), via openFDA; the full label on DailyMed

What does the voriconazole label say about ergotamine?

Voriconazole label, contraindications

Ergot alkaloids (e.g., ergotamine, dihydroergotamine)

Voriconazole label (Xellia Pharmaceuticals USA LLC, January 11, 2023), contraindications

Coadministration of Voriconazole for injection with ergot alkaloids (ergotamine and dihydroergotamine) is contraindicated because Voriconazole for injection may increase the plasma concentration of ergot alkaloids, which may lead to ergotism [see Drug Interactions (7) ].

Source: FDA drug label (Voriconazole, NDA208562), Xellia Pharmaceuticals USA LLC, effective January 11, 2023 (SPL set 9ec6eda2-2f15-423b-9ec6-819379a426e1), via openFDA

Source: FDA drug label (VFEND), NDA021630 (Pf Prism Cv), as published by Roerig, effective February 26, 2026 (SPL set ce3ef5cf-3087-4d92-9d94-9eb8287228db), 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

1Ergotamine generic labelers
31Voriconazole generic labelers
ErgotamineVoriconazole
Labeled forn/aFungal infections
Boxed warningYesNo
Pharmacy cost (NADAC)$43.46 per tablet 2 mg tablet sublingual$1.88 per tablet 200 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)

What next?