Ubrogepant

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ubrogepant. The dose is 50-100mg: it is repeatable after 2 hours. Use 50mg if there is renal or hepatic impairment. Fully referenced neurology checklist.

Dose

  • The dose is 50-100mg: it is repeatable after 2 hours
  • Use 50mg if there is renal or hepatic impairment
  • The maximum dose is 200mg in 24 hours
  • It is the least toxic CGRP-RA

Indication

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Contraindications: strong CYP3A4 inhibitors

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Contraindications: strong CYP3A4 inducers

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Precautions: reduce dose with moderate CYP3A4 inhibitors

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Side effects

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References

  1. Scott LJ. Ubrogepant: first approval. Drugs 2020; 80:323-328.
  2. Voss T, Lipton RB, Dodick DW, et al. A phase IIb randomized, double-blind, placebo-controlled trial of ubrogepant for the acute treatment of migraine. Cephalalgia 2016; 36:887-898.
  3. Dodick DW, Goadsby PJ, Schwedt TJ, et al. Ubrogepant for the treatment of migraine attacks during the prodrome: a phase 3, multicentre, randomised, double-blind, placebo-controlled, crossover trial in the USA. Lancet 2023; 402:2307-2316.

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