4.6.2a Migraine
Please see NHS Kent and Medway CCG Management of Adults with Headaches and Migraines in Primary Care, for other drugs used in the prophylaxis and treatment of migraine and headache: http://www.eastkentformulary.nhs.uk/media/1709/management-of-adults-with-headaches-and-migraines-in-primary-care-21.pdf
Expand All / Expand All (incl. cost)
| Pack | Price |
|---|---|
| 12 tablet | |
| 2 tablet | |
| 4 tablet | |
| 6 tablet | £0.92 |
| Pack | Price |
|---|---|
| 12 tablet | |
| 2 tablet | |
| 4 tablet | |
| 6 tablet | £1.20 |
| Pack | Price |
|---|---|
| 2 unit dose | £14.16 |
| Pack | Price |
|---|---|
| 2 unit dose | |
| 6 unit dose | £42.47 |
| Pack | Price |
|---|---|
| 2 pre-filled disposable injection | £48.49 |
| 6 pre-filled disposable injection |
| Pack | Price |
|---|---|
| 2 pre-filled disposable injection | £48.19 |
| Pack | Price |
|---|---|
| 2 pre-filled disposable injection | £50.96 |
Frovatriptan is recommended as an option in menstrual migraine prophylaxis See local guidance here.
| Pack | Price |
|---|---|
| 6 tablet | £20.03 |
5mg is usually only required when renal or hepatic insufficiency or when used in conjunction with propranolol. It is significantly higher cost than 10mg
| Pack | Price |
|---|---|
| 3 tablet | |
| 6 tablet | £32.55 |
| Pack | Price |
|---|---|
| 12 tablet | |
| 2 tablet | |
| 3 tablet | £4.96 |
| 6 tablet |
| Pack | Price |
|---|---|
| 3 tablet | £6.31 |
| 6 tablet |
Prescribe as generic orodispersable tablets. These can be taken in exactly the same way as lyophillasites/melts and effectiveness and speed of use will not
be affected.
| Pack | Price |
|---|---|
| 12 tablet | £53.48 |
| 2 tablet | |
| 3 tablet | £13.37 |
| 6 tablet | £26.74 |
| Pack | Price |
|---|---|
| 12 tablet | £28.86 |
| 6 tablet | £14.43 |
| Pack | Price |
|---|---|
| 6 tablet | £17.68 |
Significantly higher cost than immediate release tablets. Does not increase rate of absorption
| Pack | Price |
|---|---|
| 6 tablet | £19.06 |
| Pack | Price |
|---|---|
| 6 unit dose | £36.50 |
Documents
-
Primary Care
-
Secondary Care
-
Primary and Secondary Care
Management of Adults with Headaches and Migraines in Primary Care - 2.1
Uploaded By:
Renewal: 10/2022
Approved: 10/2022
Last Reviewed: 10/2022
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Botulinum A toxin |
4.6.2a Migraine
|
| Erenumab |
4.6.2a Migraine
|
| Fremanezumab |
4.6.2a Migraine
|
| Galcanezumab |
4.6.2a Migraine
|
Specialist prescribing only when used in accordance with NICE TA 871.
| Pack | Price |
|---|---|
| 1 vial |
Documents
-
Primary Care
-
Secondary Care
-
Primary and Secondary Care
Management of Adults with Headaches and Migraines in Primary Care - 2.1
Uploaded By:
Renewal: 10/2022
Approved: 10/2022
Last Reviewed: 10/2022
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Botulinum A toxin |
4.6.2a Migraine
|
| Erenumab |
4.6.2a Migraine
|
| Fremanezumab |
4.6.2a Migraine
|
| Galcanezumab |
4.6.2a Migraine
|
Documents
-
Primary Care
-
Secondary Care
-
Primary and Secondary Care
Management of Adults with Headaches and Migraines in Primary Care - 2.1
Uploaded By:
Renewal: 10/2022
Approved: 10/2022
Last Reviewed: 10/2022
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Botulinum A toxin |
4.6.2a Migraine
|
| Erenumab |
4.6.2a Migraine
|
| Fremanezumab |
4.6.2a Migraine
|
| Galcanezumab |
4.6.2a Migraine
|
Documents
-
Primary Care
-
Secondary Care
-
Primary and Secondary Care
Management of Adults with Headaches and Migraines in Primary Care - 2.1
Uploaded By:
Renewal: 10/2022
Approved: 10/2022
Last Reviewed: 10/2022
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Botulinum A toxin |
4.6.2a Migraine
|
| Erenumab |
4.6.2a Migraine
|
| Fremanezumab |
4.6.2a Migraine
|
| Galcanezumab |
4.6.2a Migraine
|
Specialist prescribing only for preventing migraine in adults when used in accordance with NICE TA 906. Requires referral to specialist migraine service.
On formulary for the acute treatment of migraine in adults in accordance with NICE TA919. The Kent and Medway guidelines on the Management of Adults with Headaches and Migraines in Primary Care will be updated in due course, use local Advice and Guidance in the interim.
| Pack | Price |
|---|---|
| 2 tablet | £25.80 |
| 8 tablet | £103.20 |
| Pack | Price |
|---|---|
| 6 tablet | £22.50 |
| Pack | Price |
|---|---|
| 6 tablet | £22.50 |
NICE do not recommend opioids for migraine treatment; https://cks.nice.org.uk/migraine#!scenario
| Pack | Price |
|---|---|
| 1 tablet | |
| 30 tablet |
| Pack | Price |
|---|---|
| 30 suppository |
| Pack | Price |
|---|---|
| 16 tablet | |
| 24 tablet | £6.25 |
| 4 tablet | |
| 8 tablet |
| Pack | Price |
|---|---|
| 12 tablet | £5.00 |
| 16 tablet | |
| 24 tablet | £7.95 |
| 32 tablet | |
| 48 tablet | £3.97 |
| 8 tablet |
NICE do not recommend opioids for migraine tx https://cks.nice.org.uk/migraine#!scenario
| Pack | Price |
|---|---|
| 12 tablet (1 x (8 tablets + 4 tablets)) | £5.45 |
| 24 tablet (1 x (2 x(8 tablets+4 tablets))) | £8.46 |
| 48 tablet (1 x(4 x (8 tablets+4 tablets))) | £3.43 |