Drug & supplement interaction

Ergot + Belladonna, Caffeine, Ergotamine, Pentobarbital

Belladonna, Caffeine, Ergotamine, Pentobarbital brand name: Micomp PB.

Moderate Interaction
The bottom line Moderate

Belladonna, Caffeine, Ergotamine, Pentobarbital falls into 2 drug categories that Ergot can interact with; the most serious is rated moderate. Co-administration of stimulant drugs with ergot may increase the risk of vasoconstriction.

Read the full interaction report
SeverityModerate
LikelihoodPossible
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Ergot and Belladonna, Caffeine, Ergotamine, Pentobarbital

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Ergot interacts with whole categories of medication. Belladonna, Caffeine, Ergotamine, Pentobarbital falls into 2 of those categories, so it can interact with Ergot in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

STIMULANT DRUGS

1 of 2

Why this applies to Belladonna, Caffeine, Ergotamine, Pentobarbital

Belladonna, Caffeine, Ergotamine, Pentobarbital falls under STIMULANT DRUGS — the group Ergot interacts with.

Co-administration of stimulant drugs with ergot may increase the risk of vasoconstriction.
Some stimulant drugs include albuterol (Proventil, Ventolin), diethylpropion (Tenuate), dopamine, epinephrine, phentermine (Ionamin), pseudoephedrine (Sudafed), and many others.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the tricky part with Micomp PB: this medicine already contains ergotamine, which is itself an ergot chemical. It also has caffeine, a mild stimulant. So if you were to add a separate ergot product on top of this, you'd basically be stacking ergot on ergot, plus a stimulant in the mix. Both ergot and stimulants tend to tighten and narrow your blood vessels.

Doubling up that effect could mean cold, numb, or tingly fingers and toes, leg cramps, headache, or in rare cases dangerously reduced blood flow. The evidence here is mostly anecdotal, but because ergot is genuinely risky and already in this combo pill, I'd be very cautious. Please don't combine extra ergot with this medicine without first checking with your pharmacist or doctor.

References
  1. Eadie MJ. Convulsive ergotism: epidemics of the serotonin syndrome? Lancet Neurol 2003;2:429-34. PubMed
Moderate

ERGOT DERIVATIVES

2 of 2

Belladonna, Caffeine, Ergotamine, Pentobarbital also falls under ERGOT DERIVATIVES.

Concomitant use of ergot with ergot alkaloids or derivatives may increase the risk of adverse effects. Some of these include bromocriptine (Parlodel), dihydroergotamine (Migranal, DHE-45), ergotamine (Cafergot), and pergolide (Permax).
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here is the key thing to know: your Micomp PB already contains ergotamine, which is itself an ergot alkaloid. Adding ergot (the crude fungus) on top of it stacks two sources of the same vessel-tightening chemicals. That can pile on the effects rather than help anything.

When ergot activity gets too high, you can run into cold or tingling hands and feet, leg cramps, nausea, headache, or blood vessels squeezing down too far. This warning rests on anecdotal reports rather than strong studies, so I am not trying to scare you. Still, raw ergot is genuinely toxic and should never be taken as a home remedy. Please run any supplement past your pharmacist or doctor before mixing it with this medicine.

References
  1. Eadie MJ. Convulsive ergotism: epidemics of the serotonin syndrome? Lancet Neurol 2003;2:429-34. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Ergot Also Interacts With Other Medications

Ergot has 461 moderate known drug interactions in our database — the Belladonna, Caffeine, Ergotamine, Pentobarbital one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Ergot

Covers the 2,830 medications we’ve checked against Ergot. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Belladonna, Caffeine, Ergotamine, Pentobarbital

This page covers Ergot only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Belladonna, Caffeine, Ergotamine, Pentobarbital page lists 290 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Ephedra (major) and Gamma-hydroxybutyrate (ghb) (major).

By severity: 15 major · 227 moderate · 48 minor.

From our pharmacist’s overview on the Belladonna, Caffeine, Ergotamine, Pentobarbital page

“People who take Micomp PB for migraines are often the same people reaching for an herbal sleep aid or a caffeinated energy product during a rough stretch, and with four drugs in one tablet (belladonna, caffeine, ergotamine, pentobarbital) nearly everything clashes with something. The 290 supplement ingredients on file here earn genuine…”

Reviewed by 2 · Jul 18, 2026

Open the Belladonna, Caffeine, Ergotamine, Pentobarbital interaction page

How much people look this up

Where Ergot and Belladonna, Caffeine, Ergotamine, Pentobarbital Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Ergot
Steady interest

#856 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Belladonna, Caffeine, Ergotamine, Pentobarbital
Top 10%

#145 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Ergot

What is Ergot?

Ergot
  • Heavy menstrual or uterine bleeding
  • Bleeding after childbirth
  • Migraine headaches
  • Stimulating uterine contractions

Ergot is a toxic fungus that grows on rye and contains powerful chemicals (ergot alkaloids) that strongly narrow blood vessels and squeeze the uterus. Because raw ergot is poisonous and the dose is impossible to control safely, it should never be used as a home remedy or supplement. Some purified ergot chemicals are used as prescription drugs under strict medical supervision, but the crude herb is not safe to take.

Read the full Ergot monograph & all interactions
Keep checking

Other Drugs & Ergot

Browse every other medication we’ve checked against Ergot — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
461Moderate
0Minor
2,368No known interaction
Moderate

461 interactions

Showing 60 of 461 moderate interactions — see all 461 on the Ergot page.

No interaction 2,368 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Ergot and Belladonna, Caffeine, Ergotamine, Pentobarbital Together: Common Questions

Can you take Ergot with Belladonna, Caffeine, Ergotamine, Pentobarbital?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Ergot and Belladonna, Caffeine, Ergotamine, Pentobarbital?
Belladonna, Caffeine, Ergotamine, Pentobarbital belongs to more than one drug category, and Ergot interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Ergot and Belladonna, Caffeine, Ergotamine, Pentobarbital interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.