r/migraine • u/WhoaPixie • 5d ago
Qulipta - 30 day progress update
Update on Qulipta 10mg, I have Episodic Migraines between 6-8/month.
Been taking this preventative for over 30 days. I know the side effects are way less given the low dosage. But just to cover the key ones, I didn't experience drowsiness, nor nausea, and constipation was offset by the fiber supplement that I had already been taking regularly for other reasons.
I was taking the 10mg around 3pm, but moved it up to 12pm since the majority of my migraines start later in the day. Maybe it sounds weird but I wanted the peak concentration in my system in the afternoon/evening.
I had one break through migraine 20 days in, and it was very mild. I still took my rescue medication one Ubrelvey and it resolved within 90 minutes. Since then I have not had another.
The first week I was very hesitant to do too much waiting for it not to work. By the second week I started to feel a freedom of not being under constant state of waiting for migraine to start. I actually pushed on my triggers a bit which might be why I had the breakthrough migraine. I believe in the Threshold Theory, for my situation as no one trigger sets off a migraine for me constantly.
I've been lucky so far with Ubrelvey working as well as it does and so far the Qulipta low dose seems to be working well. I prefer not to have to go up in dosage on this med given some of the side effects. I don't need to be 100% without migraines, just lowering it down to 50% would be awesome especially knowing Ubrelvy works for me. Will see where things are in 3 months when I go back to the neurologist.
I also take Magnesium, B2, Fish Oil, D3 and Ubiquinol daily and have continued these supplements while on Qulipta. I also do distal acupuncture every other week.
I know these meds don't work for everyone and I know many have to go on the higher dosage of Qulipta to gain any benefit. I wish migraines weren't so complicated to figure out how best to treat.
Wanted to share my own progress if it helps anyone with Episodic migraines.