A combination headache medication called Poligot, it contains caffeine and ergotamine. Caffeine stimulates the central nervous system, mainly the cerebral cortex, respiratory and vasomotor centers. Increases mental and physical performance, reduces sleepiness, fatigue. It has a pronounced cardiotonic effect: it increases strength and heart rate, increases blood pressure in hypotension. Ergotamine has a vasoconstrictor effect. Caffeine accelerates absorption of ergotamine.
Types of migraine
The International Classification of Diseases distinguishes between these types of migraine:
- Normal migraine (migraine without aura) is a localized pulsating headache. It is considered the most common type, although it is not possible to calculate the exact proportion in the total number of migraine cases. Many patients do not go to a doctor because they take migraine for an ordinary headache (so-called tension headache).
- Classical migraine (migraine with aura) – the aura in this case is a complex of specific sensations that precede the attack and accompany it. Specific manifestations of aura are strictly individual and may be visual (apparent zigzags, colored spots, flashes of light), auditory (“ringing in the ears”), tactile (tingling and numbness), olfactory, gustatory. Less often there is a disturbance of the sense of balance and position in space, distortion of perspective, the visible sizes of objects and the distance to them (Alice’s syndrome). Sometimes the aura manifests itself as a growing sense of anxiety.
- Migraine status – prolonged attacks that do not pass after sleep and rest, sometimes lasting 24 hours, driving the patient to exhaustion.
- Complicated migraine – often accompanied by loss of consciousness, nausea, vomiting, epileptic seizures. The attack may end in a stroke (migraine stroke).
- Other migraine – this category includes such specific varieties as retinal migraine (accompanied by the appearance of a blind spot in one or two eyes), ophthalmoplegic migraine (pain in the eye nerve) and other rare types.
Polygot is used in vasoparalytic form of migraine; arterial hypotension; as a means of lowering intracranial pressure in vascular, traumatic and infectious lesions of the central nervous system. Polygot is contraindicated during pregnancy and lactation. Consult a physician before using the drug. Care should be taken to avoid an overdose of Poligot. Prolonged use of the drug is not recommended.
Polygot should be taken with caution may cause: sleep disturbance; hyperexcitability; anxiety disorders (agoraphobia, panic disorder); organic diseases of the cardiovascular system (myocardial infarction, angina pectoris, atherosclerosis, paroxysmal tachycardia, ventricular extrasystole, arterial hypertension, obliterating diseases of peripheral vessels); liver and/or kidney failure; glaucoma (increased intraocular pressure). Caution should be taken in the elderly.