Box 1.
Contraindications
| CGRP mAbs | Gepants |
|---|---|
| Pregnancy and breastfeeding | |
| Known sensitivity to drug (avoid erenumab if latex sensitivity) | |
| Significant cardiovascular/cerebrovascular/peripheral vascular disease (including severe Raynaud’s disease) within the last 6 months | |
| Significant renal or liver impairment | |
| Certain antibiotics, certain seizure medications, and grapefruita | |
For drug interactions, please refer to the British National Formulary (or equivalent). CGRP = calcitonin gene-related peptide. mAbs = monoclonal antibodies