Ubrelvy (ubrogepant) vs Trudhesa (dihydroergotamine mesylate)

Ubrelvy (ubrogepant) vs Trudhesa (dihydroergotamine mesylate)

Ubrelvy (ubrogepant) is an oral calcitonin gene-related peptide (CGRP) receptor antagonist specifically approved for the acute treatment of migraine with or without aura in adults and is known for its ability to provide pain relief within two hours. Trudhesa (dihydroergotamine mesylate), on the other hand, is a nasal spray formulation of dihydroergotamine, a well-established treatment for acute migraine, that is designed to bypass the gastrointestinal tract and provide rapid relief without injection. When deciding between the two, patients should consider factors such as the route of administration preference, individual response to treatment, potential side effects, and any contraindications they may have, such as cardiovascular issues which may be more pertinent with Trudhesa.

Difference between Ubrelvy and Trudhesa

Metric Ubrelvy (ubrogepant) Trudhesa (dihydroergotamine mesylate)
Generic name Ubrogepant 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, causes vasoconstriction
Brand names Ubrelvy Trudhesa, Migranal
Administrative route Oral Nasal spray
Side effects Nausea, somnolence, dry mouth Nausea, vomiting, nasal congestion, dizziness
Contraindications Concomitant use with strong CYP3A4 inhibitors Concomitant use with potent CYP3A4 inhibitors, pregnancy, sepsis, ischemic heart disease, uncontrolled hypertension
Drug class Gepant Ergot alkaloid
Manufacturer AbbVie Inc. Impel NeuroPharma

Efficacy

Ubrelvy (Ubrogepant) for Migraine

Ubrelvy, with the active ingredient ubrogepant, is an oral medication approved by the FDA for the acute treatment of migraine with or without aura in adults. As a member of the class of drugs known as CGRP receptor antagonists, ubrogepant works by blocking the calcitonin gene-related peptide (CGRP) receptor, which is believed to play a critical role in migraine. Clinical trials have demonstrated the efficacy of ubrogepant in relieving migraine pain and the most bothersome symptoms associated with migraine attacks when taken at the onset of an episode. Patients in these studies reported significant pain relief and reduction in symptoms such as nausea, light sensitivity, and sound sensitivity compared to placebo.

The efficacy of Ubrelvy was evaluated in two pivotal phase 3 clinical trials, ACHIEVE I and ACHIEVE II. These trials showed that a significant percentage of patients experienced pain freedom at two hours after taking a single dose of ubrogepant compared to those who took a placebo. Additionally, many patients were able to return to normal function within two hours, and the medication was also effective in treating migraines that were moderate to severe in intensity. The benefits of ubrogepant were observed without the need for a second dose for the majority of patients.

Trudhesa (Dihydroergotamine Mesylate) for Migraine

Trudhesa, which contains dihydroergotamine mesylate (DHE), is a nasal spray approved for the acute treatment of migraine with or without aura in adults. DHE is a well-established treatment for migraine that has been used for decades. Trudhesa utilizes a proprietary nasal delivery system designed to improve the absorption and distribution of DHE in the nasal cavity, potentially leading to rapid onset of action. Clinical studies have shown that Trudhesa can effectively relieve migraine pain and symptoms. Patients using Trudhesa reported pain relief, with some experiencing relief as early as 15 minutes after administration, and sustained relief for up to 48 hours post-dose.

While Trudhesa's efficacy in relieving migraine pain and symptoms is well-documented, it is important to note that individual responses to treatment can vary. In clinical trials, Trudhesa was shown to be effective in providing relief for both mild and severe migraine attacks. Additionally, Trudhesa has been found to be beneficial for patients who have not responded adequately to other migraine medications, offering an alternative for those seeking different treatment options. The nasal spray delivery system also provides a non-oral route of administration, which can be particularly useful for patients who experience nausea and vomiting during migraine attacks.

Regulatory Agency Approvals

Ubrelvy
  • Food and Drug Administration (FDA), USA
Trudhesa
  • Food and Drug Administration (FDA), USA

Access Ubrelvy or Trudhesa today

If Ubrelvy or Trudhesa are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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