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CARDIOVASCULAR SYSTEM › PERIPHERAL VASODILATORS › PERIPHERAL VASODILATORS › Ergot alkaloids
dihydroergocristine, combinations
C04AE54
Forms & Strengths
- Tablets: 0.5mg + 5mg + 10mg
- Injectable solution: 1mg/mL
Adult Dosing
- Initial dose: 1 tablet (0.5mg + 5mg + 10mg) orally, 2-3 times a day
- Maintenance dose: Adjust according to patient response
- Max daily dose: 4 tablets (2mg + 20mg + 40mg)
Pediatric Dosing
- Not recommended for children under 18 years
- Use with caution in elderly patients
Indications
- Treatment of Raynaud's phenomenon
- Cerebrovascular insufficiency
- Arterial occlusive disease
- Migraine prophylaxis
Mechanism of Action
- Alpha-adrenergic blocking activity
- Beta-adrenergic stimulating activity
- Vasodilation by direct action on smooth muscle
Contraindications
- Hypersensitivity to ergot alkaloids
- Severe coronary artery disease
- Uncontrolled hypertension
- Pregnancy and lactation
Adverse Reactions
- Nausea and vomiting
- Headache
- Dizziness
- Abdominal pain
Drug Interactions
- Potentiated by beta-blockers
- Antagonized by sympathomimetics
- Concomitant use with caffeine may increase risk of adverse effects
Curated Content: Needs Vetting Before Put to Clinical Use