Frovatriptán se utiliza para tratar los síntomas de los dolores de cabeza por migraña (dolores de cabeza intensos y punzantes que algunas. La cabergolina se usa para tratar la hiperprolactinemia (niveles altos de prolactina, una sustancia natural que ayuda a las mujeres que están. Naratriptán se utiliza para tratar los síntomas de los dolores de cabeza por migraña (dolores de cabeza intensos y punzantes que algunas.
|Published (Last):||12 January 2007|
|PDF File Size:||17.32 Mb|
|ePub File Size:||11.47 Mb|
|Price:||Free* [*Free Regsitration Required]|
Pregnancy outcomes following first trimester exposure to sumatriptan. Case report A year-old female patient was admitted with a sudden onset of paresthesia in upper and lower limbs with 4 days of evolution.
Musikatavorn K, Suteparuk S. Ergotism is caused, in most cases, by the prolonged abuse of ergotamine derivatives in the treatment of ergofamina migraine attacks.
Estos casos suelen ser muy raros, teniendo lugar preferentemente en pacientes con enfermedad arterial coronaria o en pacientes que han sido tratados con ergotamina en las 24 horas anteriores. Ergotism with ischemia in all four extremities: Si a las 2 horas no se ha obtenido una respuesta satisfactoria, puede administrarse una segunda dosis de mg.
Despite the fact that acute arterial occlusion caused by ergotamine derivative is a rare clinical condition, it should be considered in the differential diagnosis of ischemic syndromes, especially in young patients without cardiovascular risk factor, or of severe arterial embolism.
The patient progressed with improvement of pain and upper and lower limb paresthesia, return of normal skin color and of distal pulses in the lower limbs; she was discharged on the sixth hospital day.
Acute arterial occlusion caused by ergotamine derivatives
Services on Demand Journal. Introduction During the Middle Ages the first descriptions of intoxication caused by ergotamine derivatives were made. Differential diagnosis is necessary, since occlusive atherosclerotic disease, thromboembolic disease, arteritides, fibromuscular dysplasia and the Raynaud’s phenomenon all have vasospastic symptoms similar to those of ergotism. Lack of an interaction between sumatriptan and selective serotonin reuptake inhibitors. Ergotism, ergotamine, ischemia, arterial insufficiency, arterial occlusion.
Early diagnosis and treatment are fundamental in order to avoid severe and potentially fatal complications. Treatment options include anticoagulants such as heparin, oral vasodilators, platelet antiaggregants, anesthetic blocks, calcium channel blockers, hyperbaric oxygen, as well as intravascular volume intoxiccacion.
Edison Barreto de Souza Av. Ergotamine was discontinued, as well as the use of heparin, cilostazol and buflomedil. Ergotamine derivatives include several drugs widely used in the treatment of acute migraine attacks.
Discussion The diagnosis of ischemia induced by ergotamine derivatives is based on the patient’s clinical history, physical examination and on angiographic aspects. Ergotamine derivatives include several drugs widely used in the treatment of acute migraine attacks and post-partum hemorrhage. Prostaglandins, ergot, alkaloids and other drugs. On the one hand, ergotamine derivatives may damage the vascular endothelium by inducing the proliferation of arterial muscle cells due to stimulation of the platelet-derived growth factor and, on the other hand, they cause thrombosis and necrosis of the tunica media; these are symptoms associated with poisoning by ergotamine.
The diagnosis of ischemia induced by ergotamine derivatives is based on the patient’s clinical history, physical examination and on angiographic aspects.
Its active components are alkaloids, all derived from lysergic acid. Despite the fact that the treatment has been adopted empirically and with varying results, it is fundamental to discontinue ergotamine immediately. Treatment duration depends on individual progress of each patient and, in case of persistent vasospasm, the possibility that the patient is still using ergotamine derivatives for migraine attacks intocicacion be investigated.
En muchos casos, la dosis de mg no intoicacion mejores resultados que la dosis de 25 mg. Sumatriptan for migraine attacks in children: When arterial spasm is observed, especially if it is bilateral and symmetrical, intoxication by ergotamine should be suspected.
Vascular spasm and gangrene during heparin-dihydro-ergotamine prophylaxis. Dose ranging efficacy and safety of subcutaneous sumatriptan in the acute intoxicaciin of migraine. No conflicts of interest declared concerning the publication of this article.
After drugs were suspended and anticoagulants, vasodilators and antiplatelet drugs were prescribed, the patient progressed with improvement of pain, paresthesia and return of normal skin color and distal pulses in lower limbs.
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. A double-blind study of subcutaneous dihydroergotamine vs subcutaneous sumatriptan in the treatment of acute migraine. Ischemic colitis and sumatriptan use. Leung M, Ong M. Iatrogenic arterial aneurysm associated with ergotamine therapy. In the ergofamina basis of therapeutics.
Ergotism unresponsive to multiple therapeutic modalities, including sodium nitroprusside, resulting in limb loss. By that time, strange epidemics with the characteristic symptom of limb gangrene were reported. In recent publications, percutaneous angioplasty has been reported as an adjuvant treatment for arterial spasm; however, due to the risk of injury to the intimal layer of the vessels, consequently causing thrombosis, it should be avoided whenever possible.
SUMATRIPTAN EN VADEMECUM
The objective of this study is to report a case of acute arterial occlusion of lower limbs as a ergotaamina of the use of ergotamine tartrate, an infrequent condition, so that it can be diagnosed and treated as efficiently and early as possible. A year-old female patient was admitted with a sudden onset of paresthesia in upper and lower limbs with 4 days of evolution. At examination, she presented with loss of muscular strength on upper limbs, intense pain in lower limbs, below the knee, cyanosis of the toes and absence of distal pulses.
The main pharmacological effects of ergotamine are: Spasm is more frequently found in the peripheral arterial system, lower limbs are more affected than upper limbs and the induced vasospasm is usually bilateral, symmetrical.
How to cite this article.