Nurtec ODT (rimegepant) vs Trudhesa (dihydroergotamine mesylate)

Nurtec ODT (rimegepant) vs Trudhesa (dihydroergotamine mesylate)

Nurtec ODT (rimegepant) is an orally disintegrating tablet used for the acute treatment of migraine with or without aura in adults and has the added benefit of a preventive treatment indication for episodic migraine. Trudhesa (dihydroergotamine mesylate) is a nasal spray indicated for the acute treatment of migraine with or without aura in adults and is known for its long history of use and effectiveness in aborting migraines. When deciding between the two, a patient should consider factors such as the method of administration, the potential for preventive treatment with Nurtec ODT, and individual response to therapy, as well as consulting with their healthcare provider to determine the most appropriate option based on their medical history and specific needs.

Difference between Nurtec ODT and Trudhesa

Metric Nurtec ODT (rimegepant) Trudhesa (dihydroergotamine mesylate)
Generic name Rimegepant Dihydroergotamine mesylate
Indications Acute treatment of migraine with or without aura in adults Acute treatment of migraine headaches with or without aura
Mechanism of action Calcitonin gene-related peptide (CGRP) receptor antagonist Agonist at serotonin (5-HT) receptors and causes vasoconstriction of dilated cranial blood vessels
Brand names Nurtec ODT Trudhesa, Migranal (another form of dihydroergotamine)
Administrative route Oral Nasal spray
Side effects Nausea, dizziness, fatigue, dry mouth Nausea, vomiting, nasal discomfort, altered sense of taste
Contraindications Concomitant use with strong CYP3A4 inhibitors, history of hypersensitivity to rimegepant Uncontrolled hypertension, pregnancy, ischemic heart disease, history of hypersensitivity to ergotamine derivatives
Drug class Calcitonin gene-related peptide (CGRP) receptor antagonist Ergot alkaloid derivative
Manufacturer Biohaven Pharmaceuticals Impel NeuroPharma

Efficacy

Nurtec ODT (Rimegepant) for Migraine

Nurtec ODT (rimegepant) is an orally disintegrating tablet approved for the acute treatment of migraine with or without aura in adults. It belongs to a class of drugs known as calcitonin gene-related peptide (CGRP) receptor antagonists. The efficacy of Nurtec ODT was demonstrated in a multicenter, randomized, double-blind, placebo-controlled trial. In this study, a significant percentage of patients treated with Nurtec ODT experienced pain freedom at two hours compared to those who received a placebo. Additionally, many patients reported relief from their most bothersome migraine symptom, which includes nausea, light sensitivity, or sound sensitivity, within the same time frame.

Further, the benefits of Nurtec ODT were not just limited to pain relief. Patients also reported a reduction in the use of rescue medication within 24 hours of taking the medication. This indicates that Nurtec ODT can be effective in managing the acute phase of migraines and reducing the need for additional pain relief measures. Importantly, the drug has been reported to have a rapid onset of action, which is crucial for patients seeking prompt relief from migraine attacks.

Trudhesa (Dihydroergotamine Mesylate) for Migraine

Trudhesa (dihydroergotamine mesylate) is a nasal spray indicated for the acute treatment of migraine with or without aura in adults. Dihydroergotamine mesylate, the active ingredient in Trudhesa, is a member of the ergot family of medications and has been used for many years in various formulations for the treatment of migraines. The efficacy of Trudhesa is based on the well-established efficacy of dihydroergotamine mesylate in this indication. Trudhesa utilizes a novel delivery system designed to improve the absorption and bioavailability of the medication, which may offer advantages over other routes of administration.

Clinical trials have shown that dihydroergotamine mesylate can provide relief from migraine pain and symptoms. Patients using Trudhesa have reported experiencing significant relief from migraine pain within two hours of administration. Moreover, the nasal spray formulation allows for the medication to bypass the gastrointestinal tract, which can be beneficial for patients who experience nausea or vomiting during migraine attacks, as it may improve the medication's effectiveness and tolerability.

Regulatory Agency Approvals

Nurtec ODT
  • Food and Drug Administration (FDA), USA
Trudhesa
  • Food and Drug Administration (FDA), USA

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