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Ergotamine vs. Metoclopramide vs. Their Combination in Acute Migraine Attacks
Author(s) -
Hakkarainen Heikki,
Allonen Hannu
Publication year - 1982
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1982.hed2201010.x
Subject(s) - metoclopramide , ergotamine , migraine , nausea , medicine , vomiting , antiemetic , anesthesia , acute migraine , dihydroergotamine , pharmacology , alternative medicine , pathology , placebo
SYNOPSIS The effect of ergotamine tartrate was compared with that of the antiemetic agent metoclopramide and with those of two combinations in a double‐blind trial of 24 adult female patients with migraine. The following combinations of the drugs were used in oral administration in a total of 176 acute migraine attacks: (a) Ergotamine 1 mg, (b) Metoclopramide 20 mg, (c) Ergotamine 1 mg + metoclopramide 20 mg, (d) Ergotamine 2 mg + metoclopramide 20 mg. The duration of attacks was significantly shorter on both of the combinations compared with the single drugs. The intensity of the pain was somewhat weaker and the appearance of nausea and vomiting somewhat but not significantly less during the combination treatments. In their overall opinion the patients favored the 2 mg + 20 mg combination significantly more than the others. Both ergotamine and metoclopramide are efficient in acute migraine attacks. Their combination seems to enhance the therapeutic response in some respects.