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Reyvow vs. Ajovy

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Reyvow (lasmiditan) and Ajovy (fremanezumab) are both used to manage migraines, but they have different purposes and methods of administration. Reyvow (lasmiditan) is a serotonin agonist taken orally to treat migraines when they occur, while Ajovy (fremanezumab) is a CGRP receptor blocker injected under the skin to prevent migraines. Reyvow (lasmiditan) can relieve migraine pain within two hours but may cause dizziness and sleepiness, requiring you to avoid driving for at least eight hours after taking it. Ajovy (fremanezumab) is taken either once a month or once every three months and mainly causes injection-site reactions like pain and swelling. Reyvow (lasmiditan) is a controlled substance due to its potential for abuse, whereas Ajovy (fremanezumab) is not. Both medications are only available as brand-name options, and neither has been studied in children under 18 years old.

Reyvow

(lasmiditan)

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Ajovy

(fremanezumab)

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Summary for Reyvow

Prescription only

Reyvow, the brand name for lasmiditan, is a serotonin agonist. It's used to treat migraine with or without aura in adults. It comes as a tablet that's taken by mouth when you have a migraine. Many people feel pain relief within 2 hours. Common side effects include dizziness, sleepiness, and a "pins-and-needles" feeling. Reyvow (lasmiditan) is a controlled substance because of the risk of misuse. Currently, Reyvow (lasmiditan) is a brand-name medication only; there's no generic yet.

Indications for Reyvow

Pros and Cons for Reyvow

Pros

  • Starts to work to relieve migraine pain within 2 hours
  • Can take with or without food
  • Available in 3 different strengths

Cons

  • Might not work as well as triptans
  • Need to wait at least 8 hours before driving or operating machinery after taking the medication because it affects how well you can stay alert
  • Not used to prevent migraines

Common Side Effects for Reyvow

  • Dizziness (up to 17%)
  • Numbness or tingling feeling (up to 9%)
  • Sleepiness (up to 7%)
  • Tiredness (up to 6%)

Warnings for Reyvow

  • Dizziness and sleepiness
  • Serotonin syndrome
  • Medication-overuse headache

Summary for Ajovy

Prescription only

Ajovy (fremanezumab or fremanezumab-vfrm) is a type of migraine medication called a calcitonin gene-related peptide (CGRP) antagonist. It's an injection given under the skin to help prevent migraines in adults. It can also help prevent episodic migraines in children ages 6 years and older who weigh at least 99 lbs. This medication is injected once a month or once every 3 months. It's injected using either the prefilled autoinjectors or syringes. Side effects include injection-site reactions like pain, swelling, and redness.

Indications for Ajovy

Pros and Cons for Ajovy

Pros

  • Can help reduce the number of migraine days per month in adults and in children after a few months of treatment
  • Taken once a month (or even once every 3 months for adults)
  • Available as a prefilled syringe and a prefilled autoinjector

Cons

  • Must inject it under the skin
  • Not used for relieving and treating an active migraine
  • Might be hard for some people to use properly

Common Side Effects for Ajovy

  • Pain, swelling, redness, or other reaction at the injection site (43-45%)

Warnings for Ajovy

  • Allergic reactions
  • High blood pressure
  • Raynaud's phenomenon

Prices with our coupons for Reyvow vs. Ajovy

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Reyvow8 tablets / 100mg
$724.92-
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Price Card Drug Icon
Ajovy1 autoinjector / 225mg/1.5ml
$768.22$991.54
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