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Dihydroergotamine Mesylate

Dihydroergotamine Mesylate Injection, USP Rx Only

Approved
Approval ID

111f628a-7e1e-4d47-8ac1-f898cbfc9b74

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Jun 28, 2022

Manufacturers
FDA

Padagis US LLC

DUNS: 967694121

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Dihydroergotamine Mesylate

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code0574-0850
Application NumberANDA040475
Product Classification
M
Marketing Category
C73584
G
Generic Name
Dihydroergotamine Mesylate
Product Specifications
Route of AdministrationSUBCUTANEOUS, INTRAMUSCULAR, INTRAVENOUS
Effective DateAugust 20, 2018
FDA Product Classification

INGREDIENTS (6)

Dihydroergotamine MesylateActive
Quantity: 1 mg in 1 mL
Code: 81AXN7R2QT
Classification: ACTIB
ALCOHOLInactive
Quantity: 0.061 mL in 1 mL
Code: 3K9958V90M
Classification: IACT
METHANESULFONIC ACIDInactive
Code: 12EH9M7279
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM HYDROXIDEInactive
Code: 55X04QC32I
Classification: IACT
GLYCERINInactive
Quantity: 0.15 mg in 1 mL
Code: PDC6A3C0OX
Classification: IACT

Drug Labeling Information

Boxed Warning section

LOINC: 34066-1Updated: 6/28/2022

WARNING: PERIPHERAL ISCHEMIA FOLLOWING COADMINISTRATION WITH POTENT CYP3A4

INHIBITORS

Serious and/or life-threatening peripheral ischemia has been associated with the coadministration 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 medications is contraindicated** (seeCONTRAINDICATIONS andWARNINGS).**

DESCRIPTION SECTION

LOINC: 34089-3Updated: 6/28/2022

DESCRIPTION

Dihydroergotamine Mesylate is ergotamine hydrogenated in the 9, 10 position as the mesylate salt. Dihydroergotamine Mesylate is known chemically as ergotaman-3',6',18-trione,9,10-dihydro-12'-hydroxy-2'-methyl-5'-(phenylmethyl)-,(5'α)-, monomethanesulfonate. Its molecular weight is 679.80 and its empirical formula is C33H37N5O5•CH4O3S.

The chemical structure is:

![chemical-structure.jpg](/dailymed/image.cfm?name=chemical- structure.jpg&id=646881)

Dihydroergotamine Mesylate Injection, USP is a clear, colorless solution supplied in sterile ampules for intravenous, intramuscular, or subcutaneous administration. Each mL contains 1 mg Dihydroergotamine Mesylate, USP; Alcohol, USP 6.1% by volume; Glycerin, USP 15% by weight; Water for Injection, USP; Methanesulfonic Acid and/or Sodium Hydroxide for pH adjustment (pH range is 3.4 to 4.9).

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