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Ergomar
Ergomar (ergotamine) is a medication used to treat migraine headaches. It belongs to the class of drugs known as ergot alkaloids, which work by constricting blood vessels in the brain, helping to alleviate the pain and symptoms of a migraine attack. Ergomar is typically used at the onset of a migraine and is not intended for regular or long-term use.
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Frequently Asked Questions
Can Ergomar be used for tension headaches?
No, Ergomar is specifically indicated for migraine headaches and should not be used for other types of headaches.
How quickly does Ergomar work?
Ergomar begins to relieve migraine symptoms within 30 minutes to an hour of taking the first dose.
Can I take Ergomar with other migraine medications?
No, do not take Ergomar with other migraine medications, such as triptans, or within 24 hours of using them.
What should I do if I experience side effects like cold or numb fingers or toes?
This may be a sign of ergotism, a serious condition. Discontinue use and seek medical attention immediately.
Can I take Ergomar for long-term migraine prevention?
No, Ergomar is intended for the acute treatment of migraines and is not used for long-term prevention.
Comprehensive Drug Guide
How Does Ergomar Work?
Ergomar works by constricting dilated blood vessels in the brain, which helps relieve the throbbing pain and symptoms associated with migraines. It also affects serotonin receptors, which are involved in the onset of migraine headaches.
Common Dosages
- Sublingual tablets: 2 mg
Typical Dosing
- The typical dose for Ergomar is 2 mg (one tablet) placed under the tongue at the first sign of a migraine. If needed, another tablet may be taken at 30-minute intervals, with a maximum of 6 mg per attack and 10 mg per week.
Typical Dosing
FDA Approved Indications
- Treatment of acute migraine headaches with or without aura
Who Shouldn't Take Ergomar?
- Known hypersensitivity to ergotamine.
- Peripheral vascular disease, coronary artery disease, uncontrolled hypertension, or severe liver disease.
- Pregnancy (can cause harm to the fetus).
Advice From The Pharmacist
- Take Ergomar as soon as you feel the onset of a migraine for the best results.
- Do not exceed the recommended dose, as ergotamine can cause serious side effects at higher doses.
- Avoid using Ergomar with other migraine medications such as triptans or within 24 hours of using such medications.
Side Effects of Ergomar
Common Side Effects
- Nausea
- Vomiting
- Dizziness
Uncommon/Severe Side Effects
- Ergotism (severe vasoconstriction leading to cold or numb fingers/toes)
- Heart attack
- Stroke
Risks and Warnings of Ergomar
- Overuse Risk: Taking too much Ergomar can lead to ergotism, a condition characterized by severe blood vessel constriction, which can cause permanent damage to limbs.
- Cardiovascular Risk: Patients with heart disease or high blood pressure should not use Ergomar, as it can increase the risk of serious cardiovascular events.
Interactions with Ergomar
Common Drug Interactions
- Triptans: Should not be used within 24 hours of Ergomar due to an increased risk of vasoconstriction.
- Antibiotics: Certain antibiotics such as clarithromycin or erythromycin can increase ergotamine levels in the blood, leading to toxicity.
Alternatives to Ergomar
- Sumatriptan (a triptan used for migraines)
- Zomig (zolmitriptan)
- Maxalt (rizatriptan)
