# New CGRP approved on NHS **URL:** \ **Category:** CGRP antagonists\ **Tags:** nhs, medication, vestibular-migraine, migraine, cgrp-antagonist\ **Created:** [January 25, 2023, 1:02pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252 "2023-01-25T13:02:49Z")\ **Posts on this page:** 9\ **Page:** 1
**Author:** ![DizzyandConfused](https://mvertigo.org/letter_avatar_proxy/v4/letter/d/bc79bd/32.png) [@DizzyandConfused](https://mvertigo.org/u/DizzyandConfused)\ **Post date:** [January 25, 2023, 1:02pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/1 "2023-01-25T13:02:49Z")
Eptinezumab (also called Vyepti) is now available on NHS for those in the UK. It differs from other CGRP drugs in that its an IV infusion which is administered in a medical care setting, not as an at home injection. Its meant to last 3 months. As with the others it can only be prescribed by a specialist when at least 3 migraine preventatives have been trialled. Do these work for VM does anyone know? ---
**Author:** ![sheepdog\_lord](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/bc79bd/32.png) [@sheepdog\_lord](https://mvertigo.org/u/sheepdog_lord)\ **Post date:** [January 26, 2023, 3:36am UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/9 "2023-01-26T03:36:11Z")
CGRP drugs seem less effective for vestibular migraine according to Dr. Hain at Northwestern Uni in Chicago, USA. I’ve tried a few CGRPs that didn’t work for me too, but anything is always worth a shot ---
**Author:** ![turnitaround](https://mvertigo.org/user_avatar/mvertigo.org/turnitaround/32/4441_2.png) [@turnitaround](https://mvertigo.org/u/turnitaround)\ **Post date:** [January 26, 2023, 5:33am UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/10 "2023-01-26T05:33:06Z")
Do they always need to be injected or is there another way of administering them? ---
**Author:** ![Linnet\_McMahon](https://mvertigo.org/user_avatar/mvertigo.org/linnet_mcmahon/32/3286_2.png) [@Linnet\_McMahon](https://mvertigo.org/u/Linnet_McMahon)\ **Post date:** [January 26, 2023, 11:22am UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/11 "2023-01-26T11:22:51Z")
There are now 4 drugs (erenumab etc.) NICE approved for migraine. Do they work for migraine with vertigo? Does anyone have any experience of them? ---
**Author:** ![turnitaround](https://mvertigo.org/user_avatar/mvertigo.org/turnitaround/32/4441_2.png) [@turnitaround](https://mvertigo.org/u/turnitaround)\ **Post date:** [January 26, 2023, 11:39am UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/12 "2023-01-26T11:39:07Z")
Have you taken a look through existing Posts in #Medication 💊 > CGRP antagonists ? ---
**Author:** ![sheepdog\_lord](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/bc79bd/32.png) [@sheepdog\_lord](https://mvertigo.org/u/sheepdog_lord)\ **Post date:** [January 26, 2023, 1:20pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/13 "2023-01-26T13:20:15Z")
there are both oral and injectable forms. I have tried Nurtec and Ubrevly which are both oral forms, but none of the injectables ---
**Author:** ![Rachel\_Fritz](https://mvertigo.org/user_avatar/mvertigo.org/rachel_fritz/32/3292_2.png) [@Rachel\_Fritz](https://mvertigo.org/u/Rachel_Fritz)\ **Post date:** [February 1, 2023, 2:38pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/14 "2023-02-01T14:38:03Z")
I have tried Nurtec, Ubrevley, both oral CGRP’s and I have tried Emgality as an injectable. Unfortunately for me none of them helped in fact the injection made me more dizzy for a few weeks and also gave me terrible lower back pain and insomnia. Everyone is different though so it could work for you! ---
**Author:** ![sheepdog\_lord](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/bc79bd/32.png) [@sheepdog\_lord](https://mvertigo.org/u/sheepdog_lord)\ **Post date:** [February 1, 2023, 4:01pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/15 "2023-02-01T16:01:14Z")
![image](https://mvertigo.org/uploads/default/original/2X/d/de37d6c4bb2f38931347745953114f63e86e98fe.jpeg) yeah this treatment progression is from Dr. Hain. he says in his experience, people with VM normally dont get a whole lot of relief from CGRP drugs, but its always worth a shot. They are allegedly very safe, and I personally didn’t really get any side effects from trying a few of them. ---
**Author:** ![Buckhill2](https://mvertigo.org/letter_avatar_proxy/v4/letter/b/ecc23a/32.png) [@Buckhill2](https://mvertigo.org/u/Buckhill2)\ **Post date:** [November 12, 2023, 4:28pm UTC](https://mvertigo.org/t/new-cgrp-approved-on-nhs/22252/16 "2023-11-12T16:28:26Z")
Thanks for sharing the decision tree. I forgot how many meds I’ve been on the years, I sure do remember the side effects. I disagree with his last box, Botox or anti-CGRP (rarely works). I attribute the combo to me having a somewhat normal life. I can tell when both wear off at the same time. It’s not pretty & I dread when the calendars align.