Ergotamine: profile and news






Painful cluster headaches drive sufferer out of bed  Mar 1, 2006
Verapamil, lithium, ergotamine and prednisone are examples. See your family doctor, who can get you on a treatment and preventive program. DEAR DR. ... - SouthCoastToday.com,

Response Properties of Dural Nociceptors in Relation to Headache  Feb 21, 2006
...[Abstract/Free Full Text]. Graham JR and Wolff HG. Mechanism of migraine headache and action of ergotamine tartrate. Arch Neurol Psychiat 39: 737–763, 1938. ... - Journal of Neurophysiology

Boehringer Ingelheim Announces 48-week Results from Aptivus(R) ...  Feb 9, 2006
...with amiodarone, bepridil, flecainide, propafenone, quinidine, astemizole, terfenadine, dihydroergotamine, ergonovine, ergotamine, methylergonovine, cisapride ... - PR Newswire (press release),

Boehringer Ingelheim Announces 48-week Results from Aptivus(R) ...  09 Feb 2006
...with amiodarone, bepridil, flecainide, propafenone, quinidine, astemizole, terfenadine, dihydroergotamine, ergonovine, ergotamine, methylergonovine, cisapride ... - PR Newswire (press release),

Reduce platelet aggregation, blood clotting, inflammation, nervous ...  Jan 12, 2006
...of the eyes and brain when used together with anti clotting drugs such as warfarin, acetylsalicylic acid (Aspirin, Disprin), or ergotamine (Migril), used for ... - Health24.com,

William Speed III studied headaches  Nov 18, 2005
Hospital. He retired in 2002. He worked with the drug Ergotamine, a medication to control migraine by the inhalation method. When ... - Indianapolis Star,

New Data Show a Kaletra(R) (Lopinavir/Ritonavir)-Based Regimen ...  Nov 18, 2005
Kaletra should not be taken with astemizole, cisapride, dihydroergotamine, ergonovine, ergotamine, methylergonovine, midazolam, pimozide, terfenadine or ... - Yahoo! News (press release)

Boehringer Ingelheim Announces 48-Week Results from Aptivus(R) ...  Nov 21, 2005
...with amiodarone, bepridil, flecainide, propafenone, quinidine, astemizole, terfenadine, dihydroergotamine, ergonovine, ergotamine, methylergonovine, cisapride ... - Yahoo! News (press release)

Experts Sort Fact from Fiction on Health Effects of Mold  Nov 8, 2005
Ergot poisoning in Europe and the United States today is almost exclusively due to excessive ingestion of ergotamine tartrate prescribed for the treatment ... - Newswise (press release)

Abbott Receives FDA Approval for New Kaletra(R) (Lopinavir ...  31 Oct 2005
Kaletra should not be taken with dihydro.ergotamine, ergonovine, ergotamine, and methylergonovine such as Cafergot(R), Migranal(R), DHE 45(R), Ergotrate Maleate ... - PR Newswire (press release),

Kaletra ® may provide convenient dosages in HIV treatment regime  Jul 31, 2005
Kaletra should not be taken with astemizole, cisapride, dihydroergotamine, ergonovine, ergotamine, methylergonovine, midazolam, pimozide, terfenadine or ... - RxPG NEWS

Treating migraines takes trial and error approach  Jul 25, 2005
The two main classes of prescribed drugs used to treat migraine headaches (after an attack has started) are ergotamine derivatives and triptans. ... - Kansas City Star <**results**>

Abbott Statement on Agreement With Brazilian Government for ...  11 Jul 2005
Kaletra should not be taken with astemizole, cisapride, dihydroergotamine, ergonovine, ergotamine, methylergonovine, midazolam, pimozide, terfenadine or ... - Medical News Today (press release)

Valeant Pharmaceuticals Introduces Redesigned Migranal Delivery ...  Jun 27, 2005
Migranal and DHE45 also should not be given to patients with uncontrolled hypertension, patients who have used 5-HT1 agonists, ergotamine-containing or ergot ... - Genetic Engineering News,

Valeant Pharmaceuticals Introduces Redesigned Migranal Delivery ...  13 Sep 2002
Migranal and DHE45 also should not be given to patients with uncontrolled hypertension, patients who have used 5-HT1 agonists, ergotamine-containing or ergot ... - Genetic Engineering News,

THE ECONOMIC AND PSYCHOSOCIAL IMPACT OF MIGRAINE BEFORE AND AFTER ...  Apr 27, 2005
Eligible patients were 18–40 years of age with diagnosed migraine who had prescriptions for an ergotamine, triptan, or combination product containing ... - The Journal of Pharmacy Technology

Prenatal Diagnosis of Polymicrogyria by Fetal Magnetic Resonance ...  Apr 19, 2005
...occurring in singleton pregnancies complicated by maternal hypotension, severe maternal trauma, and maternal ingestion of ergotamine, all presumably resulting ... - Journal of Ultrasound in Medicine

Serena Williams Launches 'RALLY for Menstrual Migraine' Campaign ...  Apr 12, 2005
...a history of heart disease, have hemiplegic or basilar migraine, have had a stroke, have blood flow problems, have taken a triptan or ergotamine type medicine ... - PR Newswire

Psychedelic medicine: Mind bending, health giving  Feb 23, 2005
...intrigued; LSD is chemically related to ergot, a naturally occurring compound that constricts blood vessels, and the derivatives ergotamine and methysergide ... - New Scientist,


Other information


Indication
For use as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants, or so called "histaminic cephalalgia".

Pharmacology
Ergotamine is a vasoconstrictor and alpha adrenoreceptor antagonist. The pharmacological properties of ergotamine are extremely complex; some of its actions are unrelated to each other, and even mutually antagonistic. The drug has partial agonist and/or antagonist activity against tryptaminergic, dopaminergic and alpha adrenergic receptors depending upon their site, and it is a highly active uterine stimulant. It causes constriction of peripheral and cranial blood vessels and produces depression of central vasomotor centers. The pain of a migraine attack is believed to be due to greatly increased amplitude of pulsations in the cranial arteries, especially the meningeal branches of the external carotid artery. Ergotamine reduces extracranial blood flow, causes a decline in the amplitude of pulsation in the cranial arteries, and decreases hyperperfusion of the territory of the basilar artery. It does not reduce cerebral hemispheric blood flow.

Mechanism Of Action
Ergotamine acts on migraine by one of two proposed mechanisms: 1) activation of 5-HT1D receptors located on intracranial blood vessels, including those on arterio-venous anastomoses, leads to vasoconstriction, which correlates with the relief of migraine headache, and 2) activation of 5-HT1D receptors on sensory nerve endings of the trigeminal system results in the inhibition of pro-inflammatory neuropeptide release.

Drug Category
Adrenergic alpha-Agonists; Analgesics, Non-Narcotic; Vasoconstrictor Agents; Sympatholytics; ATC:N02CA01; ATC:N02CA02

Brand Names/Synonyms
D.H.E. 45; Dihydroergotamine Mesylate; Ergomar; Ergostat; Ergotamin; Ergotamine; Ergoton-a [As Succinate]; Medihaler Ergotamine; Migranal; Wigrettes

Dosage Forms
TABLET

Absorption
Not Available

Interactions
Interactions for Ergotamine:

The effects of ERGOMAR may be potentiated by triacetyloleandomycin which inhibits the metabolism of ergotamine. The pressor effects of ERGOMAR and other vasoconstrictor drugs can combine to cause dangerous hypertension.



Chemical IUPAC Name
Not Available

Chemical Formula
C33H35N5O5

Half Life
2 hours

Drug Type
Approved Drug

# Accession No
APRD00677

CAS Registry Number
113-15-5

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