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Nurtec Vs Ubrelvy (Rimegepant Vs Ubrogepant)

Nurtec Vs Ubrelvy

migraine nurtec vs ubrelvy

Nurtec Vs Ubrelvy compares the efficacy, safety, general differences, and similarities between the two drugs. Both Nurtec and Ubrelvy have not been directly evaluated in clinical trials.

Hence, the efficacies of the two drugs compared here do not truly depict the superiority of one drug over another.

Rimegepant (Nurtec ODT) For Migraine: FDA Prescribing Information

What are Nurtec and Ubrelvy?

Nurtec and Ubrelvy are two drugs used to treat acute migraine headache that is not responsive to commonly available pain medicines. Nurtec or Nurtec ODT contains Rimegepant while Ubrelvy is the brand name of Ubrogepant.

Both drugs are orally available as tablets. They treat acute migraine headaches by inhibiting the binding of CGRP (calcitonin gene-related peptide) to its receptors, the CGRPR.

Ubrelvy (Ubrogepant) for Migraine: FDA Prescribing Information

Apart from being very effective, these drugs are very safe with very few side effects compared to NSAIDs and Triptans.

NSAIDs use is associated with gastrointestinal side effects and acute kidney injury while triptans may cause hypertension and angina.

How are Nurtec and Ubrelvy Similar?

Nurtec and Ubrelvy are CGRPR antagonist drugs that inhibit the action of the CGRP. Both these drugs have been FDA approved for the acute treatment of moderate to severe migraine headaches.

Both these drugs are available as oral tablet formulations and taken orally immediately after the onset of headache symptoms.

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The similarities of Nurtec and Ubrelvy are summarized in the table below:

Similarities

Nurtec Vs Ubrelvy

What are they? Nurtec and Ubrelvy both belong to the class of medicines called “gepants” or CGRPR antagonists
MOA These drugs act by inhibiting the binding of CGRP to its receptors, CGRPR.
Uses Nurtec and Ubrelvy are both used to treat acute migraine headache with or without aura.
Form These drugs are available in oral tablet formulations
Efficacy Both Nurtec and Ubrelvy effectively abort acute migraine episodes within minutes to hours.
Common Side effect Nausea is a common side effect of both
Drug Interactions Both the drugs are contraindicated with concomitant strong CYP3A4 Inhibitors

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Nurtec Vs Ubrelvy: Key differences:

Slight differences exist between Nurtec and Ubrelvy. The key difference is the dosage form and dosing of the two drugs.

Nurtec is available as Nurtec ODT, orally disintegrating tablets. It is administered sublingually while Ubrelvy is taken with a glass of water.

The key differences between the two drugs are summarized in the table below:

Nurtec

Ubrelvy

Generic Rimegepant Ubrogepant
US FDA approval FDA approved in 2020 FDA approved in 2019
Manufacturer Biohaven Pharmaceuticals Allergan USA
Absorption The peak plasma concentration is achieved after 1.5 hours of sublingual administration The peak plasma concentration is achieved after 1.5 – 2 hours of administration
Protein binding 96% 87%
Half-life elimination 11 hours 5 – 7 hours
Dosage form Nurtec is available as Nurtec ODT (Orally disintegrating tablets) Ubrelvy is available as tablets and should be taken with a glass of water.
Dosing 75 mg once a day.

No more than 15 doses are recommended per month.

The usual dose is 50 mg orally at the onset of headache. Some people require higher doses of 100 mg.

The maximum daily dose should not exceed 200 mg.

The safety of the drug to treat more than 8 migraine days per month has not been established.

Side effects Nausea is common with both Nurtec and Ubrelvy.

Nurtec is also associated with indigestion, stomach pain, and allergic reactions.

Apart from Nausea, dry mouth and somnolence may occur
Price Per tablet cost of 75 mg Nurtec ODT is 122.25 USD Per tablet price of Ubrelvy is 95 and 100 USD for 50 mg and 100 mg tablets

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Nurtec Vs Ubrelvy: Which Drug is more effective?

One clinical trial evaluated the efficacy of Nurtec ODT [Ref] in patients with moderate to severe migraine headaches while two clinical trials evaluated Ubrelvy [Ref].

Both the drugs resulted in significant improvements in migraine symptoms within two hours compared to placebo medicine.

The percentage of patients who responded to the Nurtec and Ubrelvy treatment is summarized in the table below:

Nurtec 75 mg

Vs

Ubrelvy 50 mg

Percentage of patients who were pain-free after 2 hours

21.2%

Vs

20.5%

Relief in the MBS (most bothersome symptom) after 2 hours

35.1%

Vs

38.75%

Pain relief at 2 hours (from severe or moderate pain to mild pain)

59.3%

Vs

61.7%

Sustained pain freedom

13.5% (2 – 48 hours after the administration of Nurtec ODT)

Vs

13.5% (2 – 24 hours after the administration of Ubrelvy)

Use of Rescue medications within 24 hours

14.2%

Vs

Not studied.

A significant percentage of patients with moderate to severe migraine headaches improved using Nurtec and Ubrelvy compared to placebo.

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Below is the graphical presentation of the above findings:

nurtec vs ubrelvy rimegepant vs ubrogepant
Nurtec vs Ubrelvy (Rimegepant vs Ubrogepant): Comparing the efficacies of the two drugs.

What do you think?

Written by Diabetes Doctor

I am an Internist practicing medicine for the last fifteen years. Over the years, I have learned that medicine is not about prescribing pills. True medical practice is helping people.
I do prescribe pills as well but the best results I get are when I motivate people to overcome their problems with little changes in their lifestyles.
Since most of my patients are obese, have diabetes, hypertension, high cholesterol levels, I am writing at dibesity.com when free.
Dibesity, I know the correct word is diabesity. Ignore this! Be with us.

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