Table of Contents > Drug > Ergotamine and Caffeine Print

Ergotamine and Caffeine

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Cafergot®;Migergot®
    • Brand Names: Canada: Cafergor®

    Uses
    • It is used to treat migraine headaches.
    • Ergotamine squeezes blood vessels in the brain to stop irritation and swelling.
    • Caffeine eases pain.

    Dosing

    How to take

    • Oral:
    • Take 2 tablets at the first sign of attack.
    • Take 1 tablet 30 minutes after the first dose, if needed. Space doses by at least 30 minutes.
    • Do not take more than 6 tablets per attack or more than 10 tablets a week.
    • Rectal:
    • Use suppository rectally.
    • Do not use more than 2 suppositories per attack or more than 5 suppositories a week.

    Missed Dose

    • This drug is taken on an as needed basis.

    Storage

    • Store at room temperature.
    • Protect from water. Do not store in a bathroom or kitchen.

    Safety



    Warnings

    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.

    Avoid

    • If you have an allergy to ergotamine, caffeine, or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have any of these health problems: Blood clots, heart disease, high blood pressure, kidney disease, liver disease, poor blood flow to the legs, Raynaud's disease, very bad infection, or thromboangiitis obliterans.
    • If you have taken almotriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan in the last 24 hours.
    • If you are pregnant or may be pregnant.
    • If you are breast-feeding.

    Precautions

    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • This drug may be habit-forming with long-term use.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Avoid grapefruit and grapefruit juice.
    • Avoid use of caffeine (for example, tea, coffee, cola) and chocolate.
    • Use birth control that you can trust to stop pregnancy while taking this drug.

    Side Effects

    • Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.

    Monitoring

    • Change in the health problem being treated. Is it better, worse, or about the same?
    • Follow up with the doctor.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Chest pain or pressure or a fast heartbeat.
    • Numbness or tingling in your hands or feet.
    • Very bad dizziness or passing out.
    • Trouble breathing.
    • Very bad headache.
    • Very upset stomach or throwing up.
    • Weakness.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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