Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

187 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Taking Cafergot for migraine. Have controlled BP and congestive heart failure. Suggest the medication which is as effective as cafergot

Answered by
Dr. Venkata Subrahmanaym Mukkavilli


Practicing since :1967

Answered : 2341 Questions

Posted on Tue, 26 Nov 2013 in Headache and Migraines
Question: i have been taking Cafergot for migraine for 25 years. it is no longer available. i am interested in the best trepan type oral medicine for me. i have congestive heart failure and controlled high blood pressure. i was just prescribed Replax, but it is too expensive and not as effective as Cafergot. What medication do you recommend.
Answered by Dr. Venkata Subrahmanaym Mukkavilli 1 hour later
Brief Answer: Sumitriptan may be used wit caution. Detailed Answer: Hi, Thank you for asking question on health care magic. Sumitriptan is the used in migraine cases successfully But it has some side effects. It rarely causes hypertension and myocardial ischemia Already you are suffering from congestive heart failure and hypertension , even though under control. you may use Ibuprofen 2-3 times daily or Paracetamol for immediate relief. Beta blockers like propronolol, timolol and meteprolol may be used. Amitryptilene an anti depressant is successfully used in the treatment of migraine' Anticonvulsants like valproate and topiramate are also used in the treatment o f migraine. These drugs also have side effects but not pertaining to cardiovascular system. Any way you have to take these drugs under strict medical supervision at proper dosage , keeping in view, the adverse effects. Hope this answer will serve your purpose Please feel free to ask any more queries if required Take care Dr.M.V.Subrahmanyam MD;DCH Associate professor of pediatrics
Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. Venkata Subrahmanaym Mukkavilli 2 hours later
Thanks for your reply. i am already taking ibuprofen and amitriptilene. I want to take the triptan for use when i feel a migraine coming on, as i I did with the Cafergot. Before I used Cafergot, debilitating migraines were a part of my life and now they are rare. However, i have to take something when that spot on my scull starts signaling a migraine. Is Imitrex the same as sumitriptan succinate? As i said before, cost is a factor. But, of course, relief is the most important thing. Which sumitriptan is best for me?
Answered by Dr. Venkata Subrahmanaym Mukkavilli 56 minutes later
Brief Answer: Yes, Imitrex is same as sumitriptan succinate, Detailed Answer: Hi, Thank you for asking a follow up question on health care magic. Imitrex is same as sumitriptan succinate. It is a selective serotonin agonist. Other members of this class includes naratryptan,zolmitryptan,rizatrptan,frovatrptan,elitryptan and almotryptan. Almost all have the same action and same effect. Your doctor has prescribed elitrptan (replax). Any preparation will do Hope this answer will serve your purpose Please feel free to ask any more queries if required Take care Dr.M.V.Subrahmanyam MD;DCH Associate professor of pediatrics
Above answer was peer-reviewed by : Dr. Shanthi.E

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,   ,   ,  

Recent questions on  Migraine

doctor1 MD

I have two lesions that showed up on an mri about 8 months ago. I was exhausted, dizzy, blurry vision and suffered migraines. The symptoms passed about 5 months ago and have all returned. I have been in such pain I have spent the weekend in bed. I am afraid this may be ms. Any thoughts?

doctor1 MD

Hi my problem is I for weeks now can t eat properly, I m so nauseaous and if I do eat I have diarrhea . I have thyroid problems and hypersomnia as well as depression and attacks of migraines, recently I ve been constantly thirsty and feI feel full even water comes up and down my throat , I am exhausted have pain in my guts and ringing in my ears, please help me figure this out I just want to feel well for even one day as been so long now since I did! Thanks

doctor1 MD

For about 6 month I have been having severe left hand and foot pain along with numbness and tingling. For the past 2 weeks I have had severe headache on left side with nausea, sometimes seeing dots, dizziness and the pain in hand and foot is worse. Last month during the night I was even able to speak! Neurologist says its just a migraine, but I think its something more

doctor1 MD

My 9 yr old daughter came home with an upset stomach. She threw up and then went to sleep. She woke up 2 hours later complaining of a bad taste in her mouth and that she couldn t smell anything but she isn t congested. Also her head started hurting. She has a history of migraines. What could this be?

doctor1 MD

Doctor, I have experienced some strangeness for two days now. I have had 2 TIA's in the past with slurred speech and numbness on the left side of my body. I awoke this AM with a numb arm on my right side. I have a headache now. I have symptoms of...

doctor1 MD

Recent visit 12-21 for headaches that I have for weeks they come and go for months at a time .they start in front and go around my head ,some nausea and ear pain or hot sensation around ears and floaters that make it hard to read or write .and...

doctor1 MD

We are wondering if my husband may have had a small stroke. Taken to the er with confusion loss of balance extremely high BP and migraine type headache. His BP meds have been adjusted but now his behavior has shifted. Very aggressive argumentative...