I’m 75 year old disabled Veteran and I started having headaches in 1957 while in my early 20’s. They tended to come in "clusters of migraine." Sometimes I had enough of a warning to head them off. In my case, the warnings came in the form of a throbbing in my temple or a sort of “tunnel vision,” which provided me with an opportunity to take medication to ease the oncoming headache.

Cafergot is a brand name of the combination of ergotamine and caffeine. It is currently available only in the suppository form for the acute treatment of migraine attacks. There are generic oral tablets with the same amounts of caffeine and ergotamine as were in the former Cafergot tablets. Ergotamine works for migraine by constricting blood vessels and effecting brain receptors such as serotonin.