Although sporadic reports of postpartum gangrene in pregnancy have been reported, these have been mainly due to underlying vascular occlusive disorders or following abortions induced by ergots
Nevertheless, revenues for specifically prescribed migraine treatments, including triptans and ergots
, are in excess of $2 billion within the U.
Triptans can cause migraine-like headaches, while analgesics and ergots
tend to lead to chronic tension headaches.
The Food and Drug Administration cautions against the simultaneous use of triptans or ergots
with SSRIs, based on anecdotal reports of serotonin syndrome occurring in a few patients who combined those agents, but it is not clear whether the symptoms would have occurred even if the patients had taken the SSRIs alone.
2 Which Ergots
have the FDA Approved for Migraine Treatment?
The patient of were allowed to take migraine prevention drugs, but not analgesics, triptans, ergots
, or other drugs that could confound pain assessment.
Consider triptans, ergots
, alkaloids, opioids, prophylaxis, and consultation for high-need patients.
Avoid the use of [beta]-blockers and ergots
, as they exacerbate Raynaud's.