Preventative migraine treatment is certainly more of an art than science. While algorithms are helpful, they are merely guidelines that practitioners can reference. The cGRP inhibitors have been a game-changer in migraine prevention and I have thought about cGRP inhibitors more and more as first line especially given the now 5 years of safety data for erenumab-aooe. As the cGRP inhibitor market has grown with several that can be used for migraine prevention, I am developing a sense of which to use with whom. For example, I tend to use erenumab-aooe in younger patients with no hx of constipation.
Have you developed a strategy for deciding which cGRP to use with specific types of patients and if one cGRP is not effective, do you switch to another one?
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Migraine Connect4yrThanks for this wonderful contribution [~Huma--Sheikh--huma927@ ]! What insights can others provide regarding the prevention of migraines? In which patients is such intervention particularly effective? Are there some patients who Show More
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Melissa Korzi4yrPrimarily insurance driven with Nurtec or Ubrelvy.
