Neuromodulating medications approved for migraine

Neuromodulating drug Botox was approved by the U.S. Food and Drug Administration in 2010 for migraine treatment. Most insurance companies in Canada will only cover Botox. 

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The treatments are approved for select people age 18 and older who experience 15 or more migraine days per month

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Dysport, Xeomin and Mybloc are not approved for Migraine prevention but can be used off label if requested by the patient. This option requires more process and time for ordering medications.  If this option is chosen by patients it will require prepayment for medications and signed release for off label use. 

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How Does Botox Work to treat chronic migraines?

Botox works by blocking certain chemicals made by the body that are involved in sending pain signals to the brain during a headache or migraine attack. It also relaxes muscle triggers for migraine headache.

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How is it administered?

Small amounts of Botox are injected into different areas of the head and neck via the PREMEPT Protocol that are involved in the development of migraines.  The treatment itself takes less than 15 minutes and is delivered every 3 months. 

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You need at least 3 treatments to fully assess the effectiveness of Botox in treating your migraines or headaches. Most insurance companies cover the cost of Botox medication for chronic migraines if you have failed at least 2 alternative preventative agents. The injection fee likely will not be covered by your insurance company and is paid in the office prior to your treatment. 

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How do I know if Botox is right for me?

Ask your healthcare provider to complete a referral form to our clinic.  We will assess and diagnose your headaches and discuss all potential treatment options with you.