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Erenumab Injection

Erenumab injections are a treatment that’s used to prevent migraine headaches. They work by blocking certain proteins from triggering a migraine. You take this medication by injecting it into your skin (subcutaneously). Take only as directed by your healthcare provider.

What is this medication?

ERENUMAB (e REN ue mab) prevents migraines. It works by blocking a substance in the body that causes migraines. It is a monoclonal antibody.

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This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Aimovig

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

  • Circulation problems in fingers or toes (Raynaud syndrome)
  • High blood pressure
  • An unusual or allergic reaction to erenumab, latex, other medications, foods, dyes, or preservatives
  • Pregnant or trying to get pregnant
  • Breastfeeding

How should I use this medication?

This medication is injected under the skin. You will be taught how to prepare and give it. Take it as directed on the prescription label. Keep taking it unless your care team tells you to stop.

It is important that you put your used needles and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or care team to get one.

Talk to your care team about the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

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What may interact with this medication?

Interactions are not expected.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.

This medication may cause constipation. If you do not have a bowel movement for 3 days, call your care team.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions or angioedema—skin rash, itching or hives, swelling of the face, eyes, lips, tongue, arms, or legs, trouble swallowing or breathing
  • Constipation, bloating, nausea or vomiting, stomach pain, which may be signs of slow movement through the digestive tract
  • Increase in blood pressure
  • Raynaud syndrome—cool, numb, or painful fingers or toes that may change color from pale, to blue, to red

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Constipation
  • Muscle pain or cramps
  • Muscle spasms
  • Pain, redness, or irritation at injection site

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store in a refrigerator or at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

Refrigeration (preferred): Store in the refrigerator. Do not freeze. Keep in original container until you are ready to take it. Remove the dose from the carton about 30 minutes before it is time for you to use it. If the dose is not used, it may be stored in original container at room temperature for 7 days. Throw away any unused medication after the expiration date.

Room Temperature: This medication may be stored at room temperature for up to 7 days. Keep in original container. Protect from light until time of use. If it is stored at room temperature, throw away any unused medication after 7 days or after it expires, whichever is first.

To get rid of medications that are no longer needed or have expired:

  • Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
  • If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.

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NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals.

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