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Titlebook: Drug-Induced Headache; Hans-Christoph Diener (Prof. of Neurology),Marcia Conference proceedings 1988 Springer-Verlag Berlin Heidelberg 19

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Possible Pharmacological Mechanisms of Chronic Abuse of Analgesics and Other Antimigraine Drugsd paracetamol, and, if these fail to bring relief, the ergot derivatives ergotamine and dihydroergotamine are by far the most important compounds. This conclusion is based on published recommendations concerning pharmacotherapy of migraine and on an analysis of the composition of preparations and co
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Ergotamine Tartrate Dependency: Possible Mechanismsrs in up to 90% of instances when the drug is used parenterally, 80% rectally, and in 50% orally (Dalessio 1980). ET has a stimulating effect on smooth muscle which produces vasoconstriction, an effect on medullary tissues causing a sympatholytic reaction, and a peripheral alpha-adrenergic blocking
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Headache Drugs Provoking Chronic Headache: Historical Aspects and Common MisunderstandingsStatistically: I had 118 days with severe attacks (in 1879); I haven‘t counted the less severe ones.” In 1879, at the age of35, he retired from his chair at the University of Basel because of his migraine. His descriptions are in no way different from those of our current patients (Holzhey and Isler 1984).
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Ergotamine Tartrate Dependency: Possible Mechanismswn with absolute certainty. Early reports by Dalessio et al. (1961) and more recent work by this author (Saper and van Meter 1980; Saper 1983; Saper and Jones 1986) have raised the possibility that the mechanism by which ergot derivatives affect migraine may be by both central as well as peripheral effects.
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0935-0195 s many patients think that there should be a medicine or medicines which give them instant relief. In the search for the compound which would meet this very natural desire, many drugs have been manufactured and the temptation for the physician is either to increase the dose of a drug which seems to
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