Preventive Migraine Treatment | Aimovig® (erenumab-aooe) (2024)

INDICATION

Aimovig® (erenumab-aooe) is indicated for the preventive treatment of migraine in adults.

IMPORTANT SAFETY INFORMATION

Contraindication: Aimovig® is contraindicated in patients with serious hypersensitivity to erenumab-aooe or to any of the excipients. Reactions have included anaphylaxis and angioedema.

Hypersensitivity Reactions: Hypersensitivity reactions, including rash, angioedema, and anaphylaxis, have been reported with Aimovig® in post marketing experience. Most reactions were not serious and occurred within hours of administration, although some occurred more than one week after administration. If a serious or severe reaction occurs, discontinue Aimovig® and initiate appropriate therapy.

Constipation with Serious Complications: Constipation with serious complications has been reported following the use of Aimovig® in the postmarketing setting. There were cases that required hospitalization, including cases where surgery was necessary. The onset of constipation was reported after the first dose in a majority of these cases, but patients also reported later on in treatment. Aimovig® was discontinued in most reported cases. Constipation was one of the most common (up to 3%) adverse reactions reported in clinical studies.

Monitor patients treated with Aimovig® for severe constipation and manage as clinically appropriate. Concurrent use of medications associated with decreased gastrointestinal motility may increase the risk for more severe constipation and the potential for constipation-related complications.

Hypertension: Development of hypertension and worsening of pre-existing hypertension have been reported following the use of Aimovig® in the postmarketing setting. Many of the patients had pre-existing hypertension or risk factors for hypertension. There were cases requiring pharmacological treatment and, in some cases, hospitalization. Hypertension may occur at any time during treatment but was most frequently reported within seven days of dose administration. In the majority of the cases, the onset or worsening of hypertension was reported after the first dose. Aimovig® was discontinued in many of the reported cases.

Monitor patients treated with Aimovig® for new-onset hypertension, or worsening of pre-existing hypertension, and consider whether discontinuation of Aimovig® is warranted if evaluation fails to establish an alternative etiology.

Adverse Reactions: The most common adverse reactions in clinical studies (≥ 3% of Aimovig®-treated patients and more often than placebo) were injection site reactions and constipation.

Please see Aimovig® full Prescribing Information.

Preventive Migraine Treatment | Aimovig® (erenumab-aooe) (2024)

FAQs

Does erenumab prevent migraines? ›

The APPRAISE randomized clinical trial provided clinically meaningful evidence that early initiation of migraine prevention with erenumab was better tolerated, safer, and more efficacious than OMPMs and provided a sustained improvement in patient satisfaction.

Why was Aimovig discontinued? ›

AIMOVIG was discontinued in most reported cases of constipation with serious complications.

What is the appropriate dosing of erenumab for migraine prevention after multiple preventive treatment failures a critical appraisal ›

According to the available data, the 140 mg monthly dose of erenumab should be preferred over the 70 mg dose in patients with migraine and prior preventive treatment failures, which is the target population according to available guidelines for prevention of migraine with monoclonal antibodies acting on the CGRP or its ...

What is the generic name for erenumab Aooe? ›

Anti-CGRP Migraine Preventive Medication | Aimovig (erenumab-aooe)

What is the best blocker for migraines? ›

These include beta blockers such as propranolol (Inderal, InnoPran), Hemangeol) and metoprolol (Lopressor). Calcium channel blockers such as verapamil (Verelan, Calan) can be helpful in preventing migraines with aura. Antidepressants. A tricyclic antidepressant, amitriptyline, can prevent migraines.

Is erenumab safe long term? ›

Erenumab demonstrated sustained efficacy with long-term treatment and a safety profile comparable to that of placebo.

Why does Aimovig cause weight gain? ›

No. Weight gain or loss has not been reported as a side effect of Aimovig. However, weight gain or loss is common in people with migraine, for reasons associated with the migraines themselves, rather than Aimovig. Weight loss may be due to loss of appetite associated with nausea or vomiting caused by a migraine.

Is Aimovig better than Topamax? ›

Aimovig has an average rating of 5.1 out of 10 from a total of 624 ratings on Drugs.com. 38% of reviewers reported a positive effect, while 44% reported a negative effect. Topamax has an average rating of 6.1 out of 10 from a total of 641 ratings on Drugs.com.

Is hair loss a side effect of Aimovig? ›

Common side effects include constipation, itching, muscle spasms, pain, redness and/or swelling at the injection site, hair loss, mouth or lip sores. Serious side effects are allergic reactions such as rash or swelling, or sometimes difficulty breathing.

Can you become immune to Aimovig? ›

Your body can develop antibodies to any foreign substance, including monoclonal antibodies. If your body makes antibodies to Aimovig or Ajovy, the drug may no longer work for you. In clinical trials for Aimovig, more than 6% of people developed antibodies to the drug.

What is the best drug for migraine prophylaxis? ›

Divalproex (Depakote), topiramate (Topamax), metoprolol, propranolol, and timolol are effective for migraine prevention and should be offered as first-line treatment. Petasites has been established as effective and can be considered for migraine prevention.

What are the adverse events of erenumab? ›

In clinical studies, the most common injection site reactions were pain, redness, and swelling. Common side effects observed were injection site reactions, constipation, and cramps with muscle spasms.

How much does erenumab cost? ›

Aimovig (erenumab) is a member of the CGRP inhibitors drug class and is commonly used for Migraine Prevention. The cost for Aimovig (aooe 70 mg/mL) subcutaneous solution is around $802 for a supply of 1 milliliter(s), depending on the pharmacy you visit.

Is Aimovig like Botox? ›

For example, Botox and Aimovig work in different ways and cause different side effects. Also, Botox is injected by your doctor in the clinic, but you'll inject Aimovig at home. Depending on your situation, one drug may be better for you than the other.

Which is better, Emgality or Aimovig? ›

Both medications are generally effective in reducing migraine frequency, with Emgality showing slightly better consistency in being taken as directed. While both drugs have similar side effects, like injection site reactions, Aimovig may also cause constipation and high blood pressure.

What injectable medication prevents migraines? ›

Preventative Injections. Four injectable prescription medications are available to block CGRP activity: Aimovig, Vypeti, Ajovy, and Emgality. They are all approved by the Food and Drug Administration (FDA) to prevent migraines in adults.

How effective is Aimovig for migraines? ›

Effectiveness for migraine

For people with episodic migraine: between 40% and 50% of those who took Aimovig for 6 months cut their number of migraine days by at least half. 27% to 30% of people who took a placebo* had their number of migraine days cut by at least half.

What is the new migraine prevention pill? ›

WHAT IS QULIPTA® (atogepant)? QULIPTA is a prescription medicine used for the preventive treatment of migraine in adults. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

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