Dihydroergotamine mesylate nasal spray side effects can include: Altered sense of smell, Asthgenia, Burning sensation of the nose, Diarrhea, Drowsiness, Dry nose, Dysgeusia, Ear discomfort, Epistaxis, Hot flash, Nasal cavity pain, Nasal congestion, Nasal discomfort, Nasal mucosal irritation, Nasal sore, Nasopharyngitis, Nausea, Pharyngitis, Rhinitis, Rhinorrhea, Sinus discomfort, Stiffness, Vomiting Tell your pharmacist and doctor if you experience any of the above while taking this medication. Dihydroergotamine. East Hanover, New Jersey: Novartis; year. Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy.Read More....