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Are Ubrelvy and Qulipta the Same?

Published in Migraine Medications 4 mins read

No, Ubrelvy and Qulipta are not the same medications; they serve distinct purposes in the comprehensive management of migraines. While both are part of a newer class of migraine treatments, their primary roles—one for acute treatment and the other for prevention—make them fundamentally different.

Understanding Ubrelvy and Qulipta

Ubrelvy (ubrogepant) is an oral medication specifically designed for the acute treatment of migraine attacks in adults. This means it is taken during a migraine to alleviate symptoms such as pain, nausea, and sensitivity to light and sound. Its goal is to stop or reduce the severity of an ongoing migraine.

Conversely, Qulipta (atogepant) is an oral medication approved for the preventive treatment of episodic and chronic migraine in adults. It is taken regularly, usually once daily, to reduce the frequency of migraine attacks over time. Qulipta aims to decrease the number of migraine days a person experiences each month.

The distinction between acute treatment and prevention is crucial in migraine care. Think of it this way: Ubrelvy is like a "fire extinguisher" for an active migraine, while Qulipta is like "fireproofing" to reduce the chances of a fire starting in the first place.

Key Differences at a Glance

Feature Ubrelvy (ubrogepant) Qulipta (atogepant)
Primary Use Acute treatment of migraine attacks Preventive treatment of migraine attacks
When to Take When a migraine attack starts Daily, regardless of symptoms, to reduce frequency
Goal To stop or reduce the severity of an ongoing migraine To decrease the total number of migraine days per month
Drug Class Oral CGRP receptor antagonist Oral CGRP receptor antagonist
Official Site Ubrelvy.com Qulipta.com

How They Fit into Migraine Management

The choice between medications like Ubrelvy and Qulipta depends entirely on an individual's migraine pattern and treatment goals.

Acute Migraine Treatment (Ubrelvy)

  • Purpose: To provide relief during an active migraine attack.
  • Ideal for: Individuals who experience migraines intermittently and need effective relief when an attack occurs.
  • Example: If you experience a migraine, taking Ubrelvy can help to quickly alleviate the pain and other associated symptoms, allowing you to resume your daily activities sooner. It's often carried for on-demand use.

Migraine Prevention (Qulipta)

  • Purpose: To reduce the overall frequency and severity of migraine attacks.
  • Ideal for: Individuals who experience frequent migraines (e.g., several days a month) and are looking to decrease the number of migraine days they have.
  • Example: If you consistently have multiple migraine days each month, your doctor might prescribe Qulipta to significantly reduce that number, improving your quality of life.

It's also worth noting that some migraine medications, like Nurtec ODT (rimegepant), have a dual indication, meaning they can be used for both the acute treatment of migraine attacks and the preventive treatment of episodic migraine. This highlights the specific roles that Ubrelvy and Qulipta play, as they are not interchangeable in their primary indications.

The Role of CGRP Inhibitors

Both Ubrelvy and Qulipta belong to a newer class of drugs known as CGRP (calcitonin gene-related peptide) inhibitors. These medications work by targeting the CGRP pathway, which plays a significant role in migraine pain transmission. By blocking CGRP or its receptor, these drugs can effectively disrupt the migraine process. Despite sharing this mechanism of action, their specific molecular structures and how they are formulated or dosed determine their primary use for either acute treatment or prevention.

Important Considerations

  • Consult a Healthcare Professional: Always consult with a doctor or a migraine specialist to determine the most appropriate treatment plan for your specific needs. They can assess your migraine frequency, severity, and other health factors to recommend the best medication or combination of medications.
  • Not Interchangeable: Due to their distinct uses, Ubrelvy and Qulipta are not interchangeable. One is taken as needed for an attack, while the other is taken regularly to prevent attacks.

Understanding these differences is key to effectively managing migraines and improving the quality of life for those affected.