Migraine Prophylactic Tx - Drug Table

Migraine – Prophylactic Therapy – Drug Table

Category

Drug Name

Common Dosing

Maximum Daily Dose

Cost*

Patient Education

(Comments & Warnings)

First Line Agents

Topiramate

(Topamax)

· 20-50mg BID

· Start with 25mg daily

· Can increase weekly by 25mg to 100mg in divided doses

100mg/day

$24.66

· CNS effects

Depakote IR

· 250-500mg BID

· Increase as needed after 7 days

1,000mg/day

$13.00

· Take with food

· CNS effects

· Carries risk of hepatotoxicity 

· Do not use in pregnancy

· There are reports of life-threatening pancreatitis

Depakote ER

· 500-1,000mg daily

· Start with 500mg daily

· Increase as needed after 7 days

1,000mg/day

$14.48

· Take with food

· CNS effects

Propranolol IR

(Inderal)

· 80-240mg total daily dose, divided 3-4x daily

· Start IR with 80mg/day, divided every 6-8 hours

· Increase by 20-40mg every 3-4 weeks

160-240mg/day

$32.69

· IR take on an empty stomach

Propranolol ER

(Inderal LA)

· 80-240mg total daily dose, divided 3-4x daily

· Start ER with 80mg/day, divided every 6-8 hours

· Increase by 20-40mg every 3-4 weeks

160-240mg/day

$58.65

· ER take consistently with or without food

Timolol

· 10-15mg BID

· Start with 10mg BID

30mg-day

$32.69

· Administer with food at the same time each day

Metoprolol Succinate

(off label)

· 50-200mg daily

· Start with 25mg daily

400mg/day

$24.99

· Can cut ER tablets in half, but do not crush or chew

Second Line Agents

Amitriptyline

(Elavil)

· 10-150mg daily

· Increase by 10-25 mg weekly

150mg/day

$11.22

· Take at bedtime

· CNS effects

· May be associated with increased suicidality risk in children and adolescents

Venlafaxine

(Effexor)

(off label)

· ER 37.5-75mg

ER 255mg

$79.93

· Administer with food

· Do not crush or chew ER capsules

· Contents of capsule may be placed in applesauce if not chewed when swallowed

· May be associated with increased suicidality risk in children and adolescents

Atenolol

(Tenormin)

· 100mg daily

· Start with 25-50mg daily

100mg/day

$13.63

 

Nadalol

(Corgard)

· 40-80mg daily

· Start with 40mg daily

240mg/day

$116.21

 

Aimovig

(Erenumab)

· Erenumab: 70-140mg SC monthly

 

$755.66

· For Anti-CGRP mAbs specific eligibility criteria see table below

Ajovy

(Fremanezumab)

· Fremanezumab: 225mg SC monthly or 675mg SC quarterly

 

$644.78

Emgality

(Galcanezumab)

· Galcanezumab: 240mg SC load, then 120mg SC monthly

 

$581.17

Triptans

Zolmitriptan

(Zomig)

· 2.5mg 2-3x/day starting 2 days prior to expected onset of menses

· Continue for 5 days after onset

Oral 5mg/dose

$290.10

· Used for prevention of menstrual-associated migraines

· Proper administration with nasal formulation

· Can break in half to achieve smaller dose

· ODT must be taken whole; place on tongue and allow to dissolve

Frovatriptan

(Frova)

(off label)

· 2.5mg 2-3x/day starting 2 days prior to expected onset of menses

· Continue for 5 days after onset

7.5mg/day

$592.75

· Used for prevention of menstrual-associated migraines

· Administer with fluids

Third Line Agents

Lisinopril

· 5-20mg daily

20mg/day

$12.59

· May cause cough, hypotension

Candesartan

· 2-16mg daily

16mg/day

$272.25

· May cause hypotension

Clonidine

· 0.05-0.225mg daily

0.225mg/day

$16.94

· CNS effects common

Carbamazepine

· 600mg daily

 

$58.41

· CNS effects common

Cyproheptadine

· 0.25-1.5mg/kg/day

12mg divided TID

$28.99

· May cause dry mouth, drowsiness, weight gain

*Cost estimates are the average cost reported on GoodRx.com as of April 2021

 


Pathway does not replace clinical judgment and should be modified as needed for individual patients. Page last revised 12/2/2015 .
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Published by the Department of Family & Community Medicine, Columbia, MO 65211