Is there a reason some people would prefer a pill to a nasal spray?
In my practice, most patients prefer a pill. They are easy to carry around, they are discreet and some people don’t like the sensation of a nasal spray.
Can this medicine help prevent post-migraine symptoms?
After a migraine attack, many people suffer from something called postdrome, sometimes known as a migraine hangover. It’s when a person feels crummy the day after having a migraine. Their pain may be gone but they still feel tired or they can’t think clearly. If you can knock the pain out early with the appropriate medication, you may be less likely to feel these prolonged issues. The quicker you get rid of the headache, the better you’ll feel, and you won’t miss so many days of work or school.
Would this medicine work for other types of headaches?
Right now the new nasal spray, and other drugs in its class, are only approved for use in migraine, not tension headache — the most common headache disorder — or cluster headache.
Does this medicine cure or prevent migraines?
We don’t have a cure for migraines, but there are medications that reduce migraine frequency. This particular medication is not a preventative but is used to interrupt a migraine episode. If you match people with the right medication and they catch the migraine when it’s mild before it gets strong, they may be able to nip the attacks in the bud and not be debilitated by them.
The gepant class of medications represents a step closer for us in understanding the underlying mechanisms of migraines. If we can find the earliest moment, biologically speaking, in a migraine episode, then maybe we can turn off a migraine before it starts. We’re not there yet, but we’re closer.