How to Inject Emgality and STOP Migraines REAL Injection

In this episode of The Headache Channel, you will learn 4 easy steps to comfortably inject Emgality / galcanezumab, the CGRP monoclonal antibody injection treatment for prevention of migraine with aura, migraine without aura, episodic migraine and chronic migraine.

This video shows a simulated injection of ACTUAL Emgality using a clear ballistics gel block. This shows the size, length and depth of the needle and the actual needle penetration and medication bolus.

Emgality is one of 3 CGRP injectable migraine prevention treatments. The others are Ajovy and Aimovig. Do not confuse the CGRP injectable migraine prevention treatments (Emgality, Aimovig / erenumab and Ajovy / fremanzeumab) with the oral CGRP migraine acute treatment pills Ubrelvy / ubrogepant and Nurtec / rimegepant. The injection medicines are for prevention and the pills (so far) are for acute treatment.

Prevention is not what you do when you get a migraine. Prevention is something you do on a regular basis to reduce how often you get a migraine attack, make the attacks you do get less severe, and make them respond better to the treatments you do when you get a migraine (acute treatment).

You should consider prevention if you have 4 or more days of migraine a month. One migraine can span 2 or more days, so count days, not migraines. You should also consider prevention if you are missing school or work (or leaving early) 2 or more days a month.

Aimovig, Ajovy and Emgality are advanced prevention treatments for episodic and chronic migraine. Botox is for chronic migraine only. Basic, or "platform" , migraine prevention treatments include topiramate, amitriptyline, divalproex / Depakote, and propranolol. Most insurance companies require that people try 2 or more platform prevention treatments before moving on to advanced treatments.

For prevention of migraine the first dose (loading dose) of Emgality is 240 mg, which is two 120 mg injections. One month later, start taking 120 mg (one injection) every month. Emgality is available as an autoinjector (also called a "pen") and as a prefilled syringe. If you choose the prefilled syringe for migraine prevention, make sure the dose you are getting is 120 mg / mL (NOT the 100 mg / mL used for cluster headache).

6 in 10 people taking Emgality for prevention of episodic migraine reduce the frequency of their migraines by more than 50%. Over 4 in 10 people get more than a 75% reduction, and one in 7 people get a 100% reduction in migraine attacks.

Common side effects of Emgality include:

Injection site reactions: feel the needle, drop of blood, bruise, red / itchy / sore spot at the site of the injection.

Allergic reaction: rare, but could be severe.

The Headache Channel Playlists:
Prevention Playlist:
   • Best Migraine Prevention Videos  

CGRP Injectables Playlist:
   • CGRP Injectables  

Aimovig Playlist:
   • Aimovig / erenumab Videos  

NOT MEDICAL ADVICE
The Headache Channel is for information and entertainment only, and is not medical advice. If you need medical advice, please see your doctor. Always consult your doctor for the final say on diagnosis and treatment of any medical condition.

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