Question 1

dhe 45 (dihydroergotamine) can i give self injections?

Accepted Answer

DHE-NS, IM or SC : Yes intramuscular or subcutaneous route. Migranal very similar to dhe also comes in nasal spray. You ought to see a neurologist to discuss dose and frequency.

Question 2

i have chronic migraines often and the only thing that helps is dhe(dihydroergotamine). last time i needed this it was off the market. is it back on?

Accepted Answer

DHE-45: is still used frequently in the hospital emergency rooms to stop a prolonged migraine. However, the use of ergotamines can be abused, resulting in a medication overuse headache which is discussed elsewhere in this chapter. To lessen the need for acute pharamcologic therapy, prophylactic drug therapy and nonpharmacologic therapies are used.

Question 3

my baby is going through a stage where dhe isnt eating good should i give her vitamins like i use to?

Accepted Answer

Needs Change: Before 6 or so most kids eat what their brain tells them to (after 6 tv adds & bad habits often rule).The toddler drops from a 14 lb/yr to a 4 lb/yr growth rate & my expectation is they eat well 3-5 days/mo then nibble the rest.It is sad the "i don't wanna's" come along at the same time.Think of a balanced week not a balanced meal. If baby is growing nl try not to get in a food fight, u will lose.

Question 4

can dihydroergotamine be used in the treatment of hypotension ?

Accepted Answer

Maybe: Ergotamine  has  vasoconstriction and vasodilatory effects but it is usually not reccomended for hypotension in the USA.

Question 5

is there a cocktail of meds that break status migrainousos particularly well? read iv compazine (prochlorperazine) and iv dihydroergotamine.

Accepted Answer

Good combination: or adding Toradol to the cocktail. Alternatively for status, a small amount of steroid and or narcotic like Demerol (meperidine hydrochloride) or MS.

Question 6

i stop smoke 2 months ago after 6 years of smoking, and i have problem breathing dhe need to take a deep breathe and some time i can't take it.

Accepted Answer

See Dr./r/o asthma.: It's good you stopped smoking, but see your doctor to rule out possible asthma and/or allergies which might be doing this.

Question 7

my daughter fell saturday now she says her neck is swollen. could dhe have an concussion. her neck is slightly swollen

Accepted Answer

A : A concussion effects the brain. It could present with amnesia of events just prior to or after the injury as well as with possible brief loss of consciousness. Additionally there can be visual changes, confusion, feeling tired, headache, repeating things, nausea or vomiting just to touch the tip of the ice berg.  You were talking about her neck. She could have had a cervical spine injury or sprained muscles or strained ligaments. The best way to know is to have her checked out and she may need x-rays of her neck.

Question 8

my daughter 25 her body become stiff and numb after dhe got angry about her work.her face become pale.is it because of tension?or what is it?

Accepted Answer

Need more info: Did she become nauseated? Did she feel faint? Did she have have involuntary movements?  It's hard to say what happened. My guess would be a neurological reflex called a "vagal  response."  you can read more about it here: http://en.Wikipedia.Org/wiki/vasovagal_response  your daughter's reaction was milder than  described there and, in fact, vagal reactions do occur in all degrees of severity.

Question 9

does midodrine cause coronary vasospasm like dihydroergotamine?

Accepted Answer

Absolutely not!: Different drug. Different mechanism. Different adverse reactions! midodrine doesn't cause coronary vasospasm.

Question 10

how do i end a status rebound migraine for 3 weeks without being in lots of pain? allergic to tordol, dhe, ultram, triptans. steroids didn't help.

Accepted Answer

Urgent care or ER: In a headache stage administration of DHE-45, ketamine, lidocaine, other agents to be a very safe and reasonable treatment for migraine. DHE-45 is used frequently in the hospital emergency rooms or urgent care to stop a severe migraine. Good luck.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Dhe 45

A member asked:

Dhe 45 (dihydroergotamine) can i give self injections?

A member asked:

I have chronic migraines often and the only thing that helps is dhe(dihydroergotamine). last time i needed this it was off the market. is it back on?

A member asked:

My baby is going through a stage where dhe isnt eating good should i give her vitamins like i use to?

A member asked:

Can dihydroergotamine be used in the treatment of hypotension ?

A member asked:

Is there a cocktail of meds that break status migrainousos particularly well? read iv compazine (prochlorperazine) and iv dihydroergotamine.

A member asked:

I stop smoke 2 months ago after 6 years of smoking, and i have problem breathing dhe need to take a deep breathe and some time i can't take it.

A member asked:

My daughter fell saturday now she says her neck is swollen. could dhe have an concussion. her neck is slightly swollen

A member asked:

My daughter 25 her body become stiff and numb after dhe got angry about her work.her face become pale.is it because of tension?or what is it?

A member asked:

Does midodrine cause coronary vasospasm like dihydroergotamine?

A member asked:

How do i end a status rebound migraine for 3 weeks without being in lots of pain? allergic to tordol, dhe, ultram, triptans. steroids didn't help.

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?