Oral Methylergonovine Maleate for Refractory Migraine and Cluster Headache Prevention

Autor: Joel R. Saper, Randolph W. Evans
Rok vydání: 2013
Předmět:
Zdroj: Headache: The Journal of Head and Face Pain. 53:378-381
ISSN: 0017-8748
Popis: This is a 40-year-old woman with an 18-yearhistory of migraine without aura that has beenchronic for 6 years. She has failed or been intolerantto numerous preventive medications, including topi-ramate and onabotulinum toxin even though she doesnot have medication overuse. She did become head-ache free after a 5-day intravenous regimen of dihy-droergotamine,but then the headaches returned overseveral months to their prior frequency.Questions:Might she respond to preventive treat-ment with methylergonovine?What is the mechanismof action, pharmacokinetics, and dosing? Whatadverse events are associated with use? Is methyler-gonovine effective for cluster headache prevention?
Databáze: OpenAIRE