Trudhesa (dihydroergotamine mesylate) vs Qulipta (atogepant)

Trudhesa (dihydroergotamine mesylate) vs Qulipta (atogepant)

Trudhesa (dihydroergotamine mesylate) is a nasal spray used for the acute treatment of migraine with or without aura in adults, offering rapid relief by constricting blood vessels in the brain. Qulipta (atogepant) is an oral calcitonin gene-related peptide (CGRP) receptor antagonist indicated for the preventive treatment of episodic migraine in adults, taken daily to reduce the frequency of migraine attacks. When deciding between the two, a patient should consider whether they need immediate relief of migraine symptoms (Trudhesa) or are seeking to reduce the occurrence of migraines over time (Qulipta), and discuss with their healthcare provider to determine the most appropriate medication based on their specific medical history and treatment goals.

Difference between Trudhesa and Qulipta

Metric Trudhesa (dihydroergotamine mesylate) Qulipta (atogepant)
Generic name Dihydroergotamine mesylate Atogepant
Indications Acute treatment of migraine with or without aura in adults Preventive treatment of episodic migraine in adults
Mechanism of action Agonist at serotonin (5-HT) receptors Calcitonin gene-related peptide (CGRP) receptor antagonist
Brand names Trudhesa Qulipta
Administrative route Nasal spray Oral
Side effects Nausea, vomiting, nasal discomfort, and others Nausea, constipation, fatigue, and others
Contraindications Ischemic heart disease, uncontrolled hypertension, pregnancy, and others Severe hepatic impairment, pregnancy, and others
Drug class Ergot alkaloid Calcitonin gene-related peptide (CGRP) receptor antagonist
Manufacturer Impel NeuroPharma AbbVie Inc.

Efficacy

Trudhesa (Dihydroergotamine Mesylate) Efficacy in Migraine Treatment

Trudhesa, which contains the active ingredient dihydroergotamine mesylate, is a nasal spray that has been approved by the U.S. Food and Drug Administration (FDA) for the acute treatment of migraine with or without aura in adults. Dihydroergotamine mesylate is a well-established medication that has been used for many years in various forms for the treatment of migraines. The efficacy of Trudhesa is attributed to its ability to bind to serotonin receptors in the brain, which can help alleviate the pain and other symptoms associated with migraines. Clinical trials have demonstrated that Trudhesa can provide rapid relief from migraine symptoms, with some patients reporting improvement within hours of administration.

The advantage of Trudhesa over other forms of dihydroergotamine is its novel delivery system, which allows the medication to be absorbed quickly through the nasal mucosa, bypassing the gastrointestinal tract. This can be particularly beneficial for patients who experience nausea and vomiting with their migraines, as it can improve medication absorption and effectiveness. Studies have shown that Trudhesa is effective in reducing both the severity and duration of migraine attacks when used at the onset of symptoms.

Qulipta (Atogepant) Efficacy in Migraine Prevention

Qulipta, with the active ingredient atogepant, is an oral medication approved by the FDA for the preventive treatment of episodic migraine in adults. Atogepant belongs to a class of drugs known as calcitonin gene-related peptide (CGRP) receptor antagonists. CGRP is a peptide that has been found to play a critical role in the pathophysiology of migraines. By blocking the CGRP receptor, atogepant can help prevent the onset of migraine attacks. Clinical trials have shown that Qulipta is effective in reducing the monthly average number of migraine days in patients with episodic migraine.

The efficacy of Qulipta was evaluated in pivotal phase 3 trials, where it demonstrated a significant reduction in the frequency of migraine days compared to placebo over a 12-week treatment period. Patients treated with Qulipta reported not only fewer migraine days but also improvements in their ability to perform daily activities and a reduced need for acute migraine medication. The preventive benefits of Qulipta provide a promising option for those who suffer from frequent migraine episodes and are seeking to reduce the burden of this chronic condition.

Regulatory Agency Approvals

Trudhesa
  • Food and Drug Administration (FDA), USA
Qulipta
  • Food and Drug Administration (FDA), USA

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