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Table 2 Practical issues about CGRP(r) MoAbs versus other migraine preventive treatments with established efficacy

From: How to integrate monoclonal antibodies targeting the calcitonin gene-related peptide or its receptor in daily clinical practice

 

CGRP(r) MoAbs

Antiepileptics

β-blockers

OnabotulinumtoxinA

Route of administration

Intravenous or subcutaneous injection

Oral

Oral

Intramuscular

Dosing frequency

Monthly or quarterly

≥1 daily

≥ 1 daily

Quarterly

Adverse effects

Rare

Common

Infrequent

Rare

Pregnancy and nursing

Contraindicated

Contraindicated

Possible with caution in the first trimester of pregnancy Not recommended during breastfeeding

Contraindicated

Costs

High

Low

Very low

Medium

  1. CGRP(r) indicates Calcitonin gene-related peptide (receptor), MoAbs Monoclonal antibodies