Methylergonovine Maleate (meth-il-er-goe-NOE-veen MAL-ee-ate)
Prevents bleeding from the uterus that can happen after childbirth. This medicine is an ergot alkaloid.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
You should not use this medicine if you have had an allergic reaction to methylergonovine, or if you have high blood pressure or toxemia. If you are pregnant, you should use this medicine only if you are in labor.
How to Use This Medicine
- Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.This medicine is usually given for up to 1 week after childbirth, as directed by your doctor.
If a dose is missed:
- If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
How to Store and Dispose of This Medicine
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
- Keep all medicine away from children and never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Make sure your doctor knows if you are also using another ergot medicine (such as ergotamine, Cafergot®, Ergomar®, Wigraine®) or a blood pressure medicine (such as atenolol, metoprolol, propranolol, Bystolic®, Tenormin®).
- Make sure your doctor knows if you are also using medicine to treat an infection (such as clarithromycin, clotrimazole, erythromycin, fluconazole, itraconazole, ketoconazole, troleandomycin, voriconazole, Biaxin®, Diflucan®, Ery-tab®, Nizoral®), medicine to treat HIV infection (such as delavirdine, indinavir, nelfinavir, nevirapine, ritonavir, saquinavir, Norvir®, Rescriptor®), or medicine to treat depression (such as fluoxetine, fluvoxamine, nefazodone, Serzone®). Tell your doctor if you are also using rifampicin (Rifadin®, Rimactane®), zileuton (Zyflo®) or medicine to treat severe chest pain or angina (such as nitroglycerin, Nitro-Bid®, Nitrostat®, Transderm-Nitro®).
- Do not eat grapefruit or drink grapefruit juice while you are using this medicine.
Warnings While Using This Medicine
- Your unborn baby could be harmed if you use this medicine before you go into labor. This medicine may cause contractions of the uterus and cause you to give birth early.
- Do not breastfeed for at least 12 hours after your last dose of this medicine.
- Make sure your doctor knows if you have kidney disease, liver disease, heart disease (such as coronary artery disease), or blood vessel disease.
- This medicine may increase your chance of heart problems or a heart attack. This is more likely if you already have heart disease, if you have diabetes or high cholesterol, or if you smoke or are overweight. Call your doctor right away if you have chest pain or discomfort; nausea or vomiting; pain or discomfort in the arms, jaw, back, or neck; trouble breathing; or sweating.
- Your doctor will check your progress closely while you are taking this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Chest pain or discomfort, fast or uneven heartbeat, sweating, trouble breathing, or pain in the arm, back, or jaw
- Decrease in how much or how often you urinate
- Severe headache, blurred vision
- Tingling of the fingers, toes, or feet
If you notice these less serious side effects, talk with your doctor:
- Diarrhea, nausea, vomiting, stomach pain
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
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