Rimegepant per il mal di testa da emicrania
Vydura
Revisione paritaria di Dr Krishna Vakharia, MRCGPAutore Michael Stewart, MRPharmSPubblicato originariamente 19 Dic 2022
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This medicine can treat an active migraine attack and prevent future attacks from happening.
For treatment of a migraine attack once it has started, the recommended dose is one 75 mg tablet as needed and no more than once daily.
To prevent migraines the dose is one tablet every other day.
The maximum dose is one 75 mg tablet every day.
The most common side-effect is feeling sick (nausea), if this happens try taking your dose with a meal or snack.
A colpo d'occhio
Rimegepant (Vydura) treats and prevents migraine headaches in adults.
It is an 'melt-in-the-mouth' tablet that dissolves in your mouth.
To treat a migraine, you can take one tablet daily if needed.
For prevention, take one tablet every other day.
Tell your doctor if you are pregnant, have kidney/liver problems, or take other medicines.
Nausea is a common side-effect, usually improving as your body adjusts to the medicine.
Seek medical attention for severe allergic reactions like shortness of breath or facial swelling.
About rimegepant for migraine headache
Tipo di medicinale | CGRP-receptor blocker |
Utilizzato per | Treating and preventing migraine headaches in adults aged 18 years or older |
Chiamato anche | Vydura® |
Disponibile come | 'Melt-in-the-mouth' orodispersible tablets |
Rimegepant can be used to treat an active mal di testa da emicrania or to prevent migraine attacks from happening. Although it is not known exactly how rimegepant works, it is known to block the action of a substance called calcitonin gene-related peptide (CGRP) by attaching to its receptor sites in the brain. People with migraine may have raised levels of CGRP. By blocking the effects of CGRP, rimegepant can stop an active migraine attack and also reduce the number of attacks over time.
In people with migraine, it is thought that some chemicals in the brain increase in activity. As a result, parts of the brain then send out confused signals which result in the symptoms of headache and sickness (nausea e vomito). Why people with migraine should develop these chemical changes is not clear, but for some people there may be things which trigger an attack, like certain foods or drinks.
Before taking rimegepant
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking rimegepant it is important that your doctor knows:
Se sei incinta, stai cercando di avere un bambino o stai allattando.
Se hai problemi con il funzionamento dei tuoi reni o del tuo fegato.
Se hai mai avuto una reazione allergica a un medicinale.
Se stai assumendo altri medicinali. Questo include qualsiasi medicinale che stai assumendo e che è disponibile per l'acquisto senza prescrizione medica, così come i medicinali a base di erbe e complementari.
How to take rimegepant tablets
Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer’s leaflet will give you more information about rimegepant and a full list of side-effects which you may experience from taking it.
Take rimegepant exactly as your doctor tells you to. If you are taking rimegepant to prevent migraine attacks then the usual dose is one 75 mg tablet every other day.
If you are taking rimegepant to treat a current migraine headache then you can take one tablet every day if required. The maximum dose is one 75 mg tablet per day.
The tablet is orodispersible which means it will dissolve in the mouth without the need to drink water.
Take care to handle the tablet as little as possible and make sure your hands are dry. Peel back the foil on the blister, do not try to push the tablet through the foil. Place the tablet on, or under, your tongue and allow it to dissolve.
It is not important whether you take your dose before or after food.
If you forget to take a dose, take it as soon as you remember unless your next dose is nearly due, in which case, leave out the forgotten dose and take your next dose when it is due. Do not take two doses together to make up for a missed one.
Ottenere il massimo dal tuo trattamento
Cerca di mantenere tutti i tuoi appuntamenti regolari con il tuo medico. Questo è per permettere al tuo medico di controllare i tuoi progressi.
If you find that rimegepant does not relieve or prevent your migraines, make an appointment to discuss this with your doctor, as an alternative medicine may be more effective for you.
It may help to keep a migraine diary. Note down when and where each migraine attack started, what you were doing, and what you had eaten that day. A pattern may emerge and it may be possible for you to avoid some of the things that trigger your migraine attacks.
Some people may benefit from taking a non-steroidal anti-inflammatory painkiller (such as ibuprofen) in addition to rimegepant. Your doctor will advise you about this if it is recommended for you.
Some medicines can affect how well rimegepant works. Your doctor or pharmacist will advise you on this, and you will find a full list in the manufacturer's information supplied with your pack.
If you buy any medicines, check with your doctor or a pharmacist that they are suitable for you to take with rimegepant. You should not take the herbal medicine St John's wort while you are being treated with rimegepant..
Some people who get frequent migraine attacks are in fact getting medication-induced headache. Cefalea indotta da farmaci (also called medication-overuse headache) is caused by taking painkillers too often. If you use painkillers on more than two days a week on a regular basis, you may be at risk of this. You should talk with your doctor if you suspect it.
If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking rimegepant.
Can rimegepant cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with rimegepant. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common rimegepant side-effects (affecting fewer than 1 in 10 people) | Cosa posso fare se sperimento questo? |
Sensazione di nausea | Stick to simple foods, avoid rich or spicy foods. Try taking your dose with a meal |
Stop using rimegepant and seek medical attention if you develop any signs of a severe reazione allergica, such as shortness of breath, facial swelling or a severe skin rash.
Se si verificano altri sintomi che ritieni possano essere dovuti a questo medicinale, parla con il tuo medico o farmacista.
How to store rimegepant tablets
Tenere tutti i medicinali fuori dalla portata e dalla vista dei bambini.
Conservare in un luogo fresco e asciutto, lontano da fonti di calore e luce diretta.
Once the foil blister is opened do not store the tablet for later use.
Informazioni importanti su tutti i medicinali
Informazioni importanti su tutti i medicinali
Non assumere mai più della dose prescritta. Se sospetti che tu o qualcun altro possa aver assunto un sovradosaggio di questo medicinale, recati al pronto soccorso del tuo ospedale locale. Porta con te il contenitore, anche se è vuoto.
Questo medicinale è per te. Non darlo mai ad altre persone, anche se la loro condizione sembra essere la stessa della tua.
Non conservare medicinali scaduti o indesiderati. Portali alla tua farmacia locale che li smaltirà per te.
Se hai domande su questo medicinale, chiedi al tuo farmacista.
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Domande frequenti
What is CGRP and why is blocking it important for migraine?
CGRP stands for calcitonin gene-related peptide. People with migraine may have raised levels of this substance. Rimegepant works by blocking the action of CGRP at its receptor sites in the brain, which can stop an active migraine attack and reduce the frequency of attacks over time.
Are there any specific medical conditions that might prevent me from taking rimegepant?
Yes, it's important for your doctor to know if you have any problems with your kidneys or liver, as these conditions might affect whether rimegepant is suitable for you or if extra care is needed during treatment.
Can I take other medications, including over-the-counter remedies or herbal supplements, with rimegepant?
It's important to inform your doctor about all other medicines you are taking, including those bought without a prescription, as well as herbal and complementary medicines. Some medicines can affect how well rimegepant works. Specifically, you should not take the herbal medicine St John's wort while being treated with rimegepant.
What should I do if I experience nausea from rimegepant?
Nausea is a common side-effect affecting fewer than 1 in 10 people. If you experience feeling sick, you can try sticking to simple foods, avoiding rich or spicy foods, and taking your dose with a meal. If it continues or becomes troublesome, speak with your doctor or pharmacist.
How should I dispose of any leftover or expired rimegepant tablets?
You should not keep out-of-date or unwanted medicines. Take them to your local pharmacy, which will dispose of them for you safely.
Ulteriori letture e riferimenti
- Medicinali Completi BNF 89ª Edizione; Associazione Medica Britannica e Società Farmaceutica Reale di Gran Bretagna, Londra.
- Manufacturer's PIL, VYDURA® 75 mg oral lyophilisate; Pfizer Limited, The electronic Medicines Compendium. Dated September 2022.
Informazioni sull'autoreVisualizza il profilo completo

Michael Stewart, MRPharmS
Responsabile Revisione Foglietti Illustrativi – Contrattista, Farmacista
BPharm (Hons), MRPharmS
Michael è un farmacista comunitario che esercita nelle Midlands e nel South Yorkshire con oltre 20 anni di esperienza nel consigliare su farmaci e condizioni mediche. Ha una solida esperienza nella formazione sanitaria, avendo prodotto e tenuto corsi di formazione per team di farmacia e personale di strutture di assistenza residenziale, inclusi infermieri. Ha anche contribuito a consigli consultivi farmaceutici per la gestione di condizioni a bassa gravità nella comunità.
Informazioni sul recensoreVisualizza il profilo completo

Dr Krishna Vakharia, MRCGP
Direttore Sanitario per la Salute, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
La Dott.ssa Krishna Vakharia è un medico di base del NHS. È anche un'esaminatrice regolare per il Diploma post-laurea in Dermatologia Pratica presso l'Università di Cardiff, oltre ad essere il Direttore Medico per la salute presso Optum UK.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 18 giu 2027
19 Dic 2022 | Pubblicato originariamente
Autore:
Michael Stewart, MRPharmSRevisione paritaria di
Dr Krishna Vakharia, MRCGP

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