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Ergoloid Mesylates
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dietary Considerations
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(ER goe loid MES i lates)

U.S. Brand Names
Germinal®; Hydergine®; Hydergine® LC

Generic Available

Yes


Synonyms
Dihydroergotoxine; Dihydrogenated Ergot Alkaloids

Pharmacological Index

Ergot Derivative


Use

Treatment of cerebrovascular insufficiency in primary progressive dementia, Alzheimer's dementia, and senile onset


Pregnancy Risk Factor

C


Contraindications

Acute or chronic psychosis, hypersensitivity to ergot or any component


Adverse Reactions

1% to 10%:

Miscellaneous: Sublingual irritation


Drug Interactions

Increased toxicity with dopamine


Mechanism of Action

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

Absorption: Rapid yet incomplete

Serum half-life: 3.5 hours

Time to peak serum concentration: Within 1 hour


Usual Dosage

Adults: Oral: 1 mg 3 times/day up to 4.5-12 mg/day; up to 6 months of therapy may be necessary


Dietary Considerations

Should not eat or drink while tablet dissolves under tongue


Mental Health: Effects on Mental Status

None reported


Mental Health: Effects on Psychiatric Treatment

Contraindicated in individuals with psychosis


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Do not chew or crush sublingual tablets, allow to dissolve under tongue


Nursing Implications

Monitor blood pressure, heart rate


Dosage Forms

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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