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Pronunciation |
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(ER
goe loid MES i
lates) |
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U.S. Brand
Names |
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Germinal®; Hydergine®;
Hydergine®
LC |
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Generic
Available |
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Yes |
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Synonyms |
|
Dihydroergotoxine; Dihydrogenated Ergot Alkaloids |
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|
Pharmacological Index |
|
Ergot Derivative |
|
|
Use |
|
Treatment of cerebrovascular insufficiency in primary progressive dementia,
Alzheimer's dementia, and senile onset |
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|
Pregnancy Risk
Factor |
|
C |
|
|
Contraindications |
|
Acute or chronic psychosis, hypersensitivity to ergot or any
component |
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|
Adverse
Reactions |
|
1% to 10%:
Miscellaneous: Sublingual irritation |
|
|
Drug
Interactions |
|
Increased toxicity with dopamine |
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|
Mechanism of
Action |
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Ergoloid mesylates do not have the vasoconstrictor effects of the natural
ergot alkaloids; exact mechanism in dementia is unknown; originally classed as
peripheral and cerebral vasodilator, now considered a "metabolic enhancer";
there is no specific evidence which clearly establishes the mechanism by which
ergoloid mesylate preparations produce mental effects, nor is there conclusive
evidence that the drug particularly affects cerebral arteriosclerosis or
cerebrovascular insufficiency |
|
|
Pharmacodynamics/Kinetics |
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Absorption: Rapid yet incomplete
Serum half-life: 3.5 hours
Time to peak serum concentration: Within 1 hour |
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|
Usual Dosage |
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Adults: Oral: 1 mg 3 times/day up to 4.5-12 mg/day; up to 6 months of therapy
may be necessary |
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|
Dietary
Considerations |
|
Should not eat or drink while tablet dissolves under
tongue |
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|
Mental Health: Effects
on Mental Status |
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None reported |
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|
Mental Health:
Effects on Psychiatric
Treatment |
|
Contraindicated in individuals with psychosis |
|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
|
|
Patient
Information |
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Do not chew or crush sublingual tablets, allow to dissolve under
tongue |
|
|
Nursing
Implications |
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Monitor blood pressure, heart rate |
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|
Dosage Forms |
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Capsule, liquid (Hydergine® LC): 1 mg
Liquid (Hydergine®): 1 mg/mL (100 mL)
Tablet: Oral: 0.5 mg
Gerimal®, Hydergine®: 1 mg
Sublingual: Gerimal®, Hydergine®:
0.5 mg, 1 mg |
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