Ubrelvy (ubrogepant) vs Zavzpret (zavegepant)

Ubrelvy (ubrogepant) vs Zavzpret (zavegepant)

Ubrelvy (ubrogepant) and Zavzpret (zavegepant) both belong to a class of drugs known as CGRP receptor antagonists, used for the acute treatment of migraine with or without aura in adults. Ubrelvy is an oral tablet taken as needed at the onset of a migraine, offering the convenience of oral administration, while Zavzpret, also known as zavegepant, is a nasal spray that might be preferred by individuals who experience nausea or vomiting with migraines, as it bypasses the gastrointestinal tract. When deciding between the two, patients should consider their personal preference for the route of administration, potential side effects, and any individual response to treatment, as efficacy can vary from person to person.

Difference between Ubrelvy and Zavzpret

Metric Ubrelvy (ubrogepant) Zavzpret (zavegepant)
Generic name Ubrogepant Zavegepant
Indications Acute treatment of migraine with or without aura in adults Acute treatment of migraine with or without aura in adults
Mechanism of action Calcitonin gene-related peptide (CGRP) receptor antagonist Calcitonin gene-related peptide (CGRP) receptor antagonist
Brand names Ubrelvy Zavzpret
Administrative route Oral Intranasal
Side effects Nausea, somnolence, dry mouth Not yet fully characterized
Contraindications Strong CYP3A4 inhibitors, end stage renal disease, severe hepatic impairment Not yet fully characterized
Drug class CGRP receptor antagonist CGRP receptor antagonist
Manufacturer Allergan (an AbbVie company) Biohaven Pharmaceuticals

Efficacy

Ubrelvy (Ubrogepant) for Migraine

Ubrelvy, with the active ingredient ubrogepant, is an oral medication approved by the Food and Drug Administration (FDA) 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. Studies have demonstrated the efficacy of ubrogepant in providing pain relief and reducing the most bothersome symptoms associated with migraine attacks, such as photophobia, phonophobia, and nausea. Clinical trials have shown that a significant percentage of patients taking ubrogepant experienced pain freedom and relief from their most bothersome symptom within two hours compared to those taking a placebo.

Zavzpret (Zavegepant) for Migraine

Zavzpret, which contains zavegepant, is another CGRP receptor antagonist, but unlike ubrogepant, it is administered as a nasal spray. Zavzpret is also used for the acute treatment of migraine with or without aura in adults. Clinical trials have indicated that zavegepant is effective in providing rapid relief from migraine pain and symptoms. The nasal spray formulation may offer an advantage for patients who experience nausea or vomiting with their migraines, making oral medications less favorable. The efficacy of zavegepant has been measured by the proportion of patients achieving pain freedom and absence of their most bothersome symptom at different time points after administration, showing positive results in comparison to placebo.

Comparative Efficacy in Treating Migraine

When comparing the efficacy of Ubrelvy and Zavzpret, it is important to consider individual patient factors such as the preference for oral versus nasal administration, the presence of nausea or vomiting, and response to previous migraine treatments. Both medications target the CGRP pathway, which is a key player in the pathophysiology of migraine. The choice between these two medications may ultimately depend on these patient-specific factors and the clinical judgment of the healthcare provider. However, both have been shown to be effective in clinical trials for the acute treatment of migraine episodes.

Conclusion

In conclusion, both Ubrelvy (ubrogepant) and Zavzpret (zavegepant) have been shown to be effective in the treatment of acute migraine attacks. Their role as CGRP receptor antagonists provides a targeted approach to migraine therapy, offering relief from pain and associated symptoms. As with any medication, the decision to use Ubrelvy or Zavzpret should be made in consultation with a healthcare provider, taking into account the specific needs and medical history of the patient.

Regulatory Agency Approvals

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

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