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616582 tn?1225068601

Ergotamine alternative

I get migraines and the only thing that knocks them out is ergotamine or DHE (basically the same thing). I'm on some antidepressants such as Luvox that can conflict with it and would like to find an alternative. It's a dangerous combination. I've tried all the triptans such as imitrex, maxalt, etc, and that family of drugs does not help at all. The latest thing I've tried is Midrin but that did not help at all either Is there anything new or a different family of drugs to try? Also, because the triptans don't work, I'm wondering if my migraines might be a more rare form of migraine.
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616582 tn?1225068601
Thanks for the reply. I have a good preventative and just started wearing glasses which has dropped the migraine frequency. Hopefully they will invent a new kind of symptomatic medication that will be easier on people who are on antidepressants.
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Thanks for writing to the forum!
Migraine medications are of two types: 1) symptomatic and 2) preventive. What you are taking is symptomatic treatment. Apart from NASAID and opiates, there are no further choices as triptans and ergot derivatives you cannot take. You could however try the preventive group of medications which include beta blockers and certain antidepressants. Even Botox injections are supposed to be helpful in some cases.

I think you should discuss this with your doctor and try and find which combination will work better. Please let me know if there is any thing else and do keep me posted. Take care!
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