Methylergonovine Maleate Ketoconazole
ModerateKetoconazole is one of the stronger blockers of the CYP 3A4 liver enzyme, which is what the body uses to break down Methylergonovine Maleate. Other strong blockers of the same kind include macrolide antibiotics (erythromycin, troleandomycin, clarithromycin), HIV protease or reverse transcriptase inhibitors (ritonavir, indinavir, nelfinavir, delavirdine), and the azole antifungals (ketoconazole, itraconazole, voriconazole), all of which can interfere with how Methylergonovine Maleate is cleared from the body.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.