Rimegepant
Amber level 0
Brand:
Nice TA:
919
Commissioning responsibility:
CCG
PbR excluded:
No
BNF chapter:
Central nervous system
Background
1.1 Rimegepant is recommended as an option for the acute treatment of migraine with or without aura in adults, only if for previous migraines:
-
at least 2 triptans were tried and they did not work well enough or
-
triptans were contraindicated or not tolerated, and nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol were tried but did not work well enough.
Not recommended:
- for concomitant use with strong inhibitors of CYP3A4
- for concomitant use with strong or moderate inducers of CYP3A4
Recommendation
LSCMMG Recommendation:
Amber level 0
Reason for decision:
Suitable for GP prescribing following recommendation/initiation by specialist
Supporting documents: