Cafergot (ergotamine / caffeine) is a combination of ergotamine and caffeine. It tightens the blood vessels in your brain to relieve the pain of your headaches.
Tenex (Guanfacine) is a centrally-acting alpha agonist medication. It lowers blood pressure by slowing down the heart rate and relaxing the blood vessels. It's not clear how Tenex (Guanfacine) works in ADHD, but it's used when stimulants haven't worked or can't be used in people.
› Limit the amount of alcohol you drink while taking this.
No sleep related info.
› People report having sleepiness or sedation while on Tenex (Guanfacine). You're at higher risk for this if you're taking other medications that have similar effects. Don't drive or do anything that requires concentration until you know how Tenex (Guanfacine) affects you.
› You can feel sleepy the first few times you take it, or when your dose is increased. Don't drive or do anything that requires concentration until you know how the medication affects your body.
Upsides and benefits
› Cafergot (ergotamine / caffeine) works better than other medicines if your migraines usually last more than 2 days or if you have more frequent migraines.
› The same medication treats two different things, high blood pressure and attention deficit hyperactivity disorder (ADHD).
› It's not a "controlled medication".
› Used to control ADHD when stimulant medications haven't worked or can't be used due to other medical problems.
› Available as a generic medication, so it should be more affordable than other options.
Downsides and risks
› Cafergot (ergotamine / caffeine) can't stop migraines from happening. They can only treat them.
› Cafergot (ergotamine / caffeine) can only be used for migraines. It doesn't work for other types of headaches.
› Smoking or using products that contain nicotine can make Cafergot (ergotamine / caffeine) less effective.
› Doesn't control ADHD as well as stimulants do, so it's used as a second-line medication.
› Not a preferred drug to control blood pressure.
› Can't be stopped suddenly, especially for blood pressure, since the blood pressure can dramatically increase.
Tips from our pharmacists for people taking the medication
› Take Cafergot (ergotamine / caffeine) as soon as you feel the migraine coming on.
› You might be more sensitive to cold when you take Cafergot (ergotamine / caffeine) since it slows down the circulation of your blood in your skin, fingers and toes. Dress warmly.
› If you have to take more than 6 tablets or 2 suppositories a day or 10 tablets or 5 suppositories in a week of Cafergot (ergotamine / caffeine), talk to your doctor.