All questions answered by: Rich Wenzel, Pharm.D. Diamond Headache Clinic Inpatient Unit St. Joseph’s Hospital, Chicago, IL Q. My migraine attacks are becoming more frequent, so my doctor prescribed topiramate (Topamax®). I have taken birth control pills for many years and I just read that topiramate may cause a negative interaction. Is this true?

There is a form of ergotamine available for Injectable use under the trade name of D.H.E. 45®, and by inhalation under the trade name of Migranal®. It is useful in the acute treatment of migraine and other vascular headaches such as cluster headache. The Injectable form is usually given as intramuscular medication, but can also be given intravenously or subcutaneously. To be effective in aborting a migraine attack, it should be given as early as possible into the headache. Follow-up doses may be needed in some patients.