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Operational Medicine 2001
Ergotamine…with belladonna alkaloids (Bellergal-S)

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Category:

  • Nervous system

Description:

  • Antimigraine agent

Indications:

  • Abortive therapy for vascular headaches including migraine and cluster headaches

Contraindications:

  • Pregnancy, peripheral vascular disease, hepatic or renal impairment

  • Coronary artery disease, uncontrolled hypertension, sepsis

Precautions:

  • Pregnancy category X; excreted in breast milk; has caused symptoms of ergotism (vomiting and diarrhea) in the infant

  • Prolonged administration, excessive dosage

  • DO NOT exceed recommended dosage

Adverse Reactions (Side Effects):

  • CNS: chest pain, coronary vasoconstriction (large doses), transient tachycardia or bradycardia, increase or decrease in blood pressure

  • GI: nausea, vomiting

  • MISC: itching, localized edema, muscle pain in extremities, numbness and tingling of fingers and toes, weakness in legs

Dosage:

Administered orally and rectally

  • Adult:   

    • PO 2mg stat, then 1-2mg every ˝ hour as needed until relief, not to exceed 6mg daily or 10mg per week

    • PR 1 suppository stat, then ˝ suppository every hour as needed until relief, not to exceed 2mg per attack

  • Older Child and Adolescent: 

    • PO 1mg stat, then 1mg every ˝ hour as needed until relief, not to exceed 3mg per attack

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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