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Data updated: Mar 10, 2026

DIHYDROERGOTAMINE MESYLATE

DIHYDROERGOTAMINE MESYLATE
Neurology Approved 2003-04-28
13
Indications
--
Phase 3 Trials
22
Years on Market

Details

Status
Prescription
First Approved
2003-04-28
Routes
NASAL, INJECTION
Dosage Forms
SPRAY, METERED, INJECTABLE

DIHYDROERGOTAMINE MESYLATE Approval History

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What DIHYDROERGOTAMINE MESYLATE Treats

2 indications

DIHYDROERGOTAMINE MESYLATE is approved for 2 conditions since its original approval in 2003. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Migraine
  • Cluster Headache
Source: FDA Label

DIHYDROERGOTAMINE MESYLATE Boxed Warning

PERIPHERAL ISCHEMIA FOLLOWING COADMINISTRATION WITH POTENT CYP3A4 INHIBITORS Serious and/or life-threatening peripheral ischemia has been associated with the co-administration of dihydroergotamine with potent CYP3A4 inhibitors including protease inhibitors and macrolide antibiotics. Because CYP3A4 inhibition elevates the serum levels of dihydroergotamine, the risk for vasospasm leading to cerebral ischemia and/or ischemia of the extremities is increased. Hence, concomitant use of these medicatio...

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

DIHYDROERGOTAMINE MESYLATE FDA Label Details

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Indications & Usage

Dihydroergotamine Mesylate Injection is indicated for the acute treatment of migraine headaches with or without aura and the acute treatment of cluster headache episodes.

⚠️ BOXED WARNING

WARNING: PERIPHERAL ISCHEMIA FOLLOWING COADMINISTRATION WITH POTENT CYP3A4 INHIBITORS Serious and/or life-threatening peripheral ischemia has been associated with the co-administration of dihydroergotamine with potent CYP3A4 inhibitors including protease inhibitors and macrolide antibiotics. Because...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.