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Cefaly: A Migraineur’s Review

The Cefaly has received FDA approval for marketing in the U.S. and early research shows promise, but what’s it really like and does it work? Here’s my review after six months of use. The gist? Cefaly is worth a try as long as it’s in your budget. I think it is best suited to migraineurs who don’t have significant allodynia and either:

  • Aren’t satisfied with the amount of relief they get from meds, or
  • Have enough migraines each month that they’re at risk for medication overuse headache, or
  • Prefer to avoid pharmaceuticals because of side effects or personal preference

Keep in mind that this review is from the perspective of a chronic migraineur who was never without a migraine at the time of testing. Cefaly is intended for people with episodic migraine who have between two and eight migraine attacks a month. A company representative told me in a personal email that it is best as a preventive if not used during a migraine attack, which, of course, wasn’t an option for me.

The manufacturers of Cefaly did not give me a free device for testing and are not compensating me in any way for writing about it. I purchased my device from Canada in June 2013 at the recommendation of my doctor.

How do you use it?

Using Cefaly is as simple as sticking the electrode to your forehead, sliding the device on it and pressing the button. The version available in the U.S. only has one program, the prevention program. Units sold outside the U.S. have three different 20-minute programs: one to stop migraine attacks in process, the second for migraine prevention, and the third for stress reduction.

photo 2

The FDA also says that Cefaly should not be used for more than 20 minutes a day, although the Canadian manual says, “Cefaly can be used all day long if needed.” When setting the treatment time, the leader researcher of the first published clinical trial said, “We considered what may be effective and what would be considered convenient for adherence to treatment. More time might produce better results, but it might also result in lower compliance. Twenty minutes was a compromise.”

I used it on the most intense program for about an hour a day. This is longer than the 20 minutes per day that the FDA has approved, but within my headache specialist’s recommendation and the guidance of the Canadian manual.


What does it feel like?

For me, the sensation starts off feeling like a mild buzzing vibration that’s slightly sharp, but not quite like pins and needles. As the program intensifies, the vibration strengthens and a feeling of pressure develops, like someone is pushing the heel of their hand hard into my forehead. Next, is a clenching sensation like my muscles are tightening. As I adjusted to the device over a few weeks of daily use, the intensity of all these sensations decreased until it was not bothersome at all. However, at least a half dozen times after that adjustment period, even the lowest setting was too painful for me to tolerate. I could never predict when this would happen, it appeared to be random.

The manual, the FDA’s press release, and researchers who have been interviewed say the sensation is not painful; it may be unusual and unexpected, but not painful. In the large patient satisfaction study, fewer than 5% of all participants reported any issues with the device, though pain or unbearable discomfort at the electrode site was the most common complaint.

photo 3

Empirically, the numbers indicate it shouldn’t be painful. The dozen real-life migraineurs I know of who have tried it describe the sensation as either bearably uncomfortable or too painful to use. This could have to do with the degree of allodynia a person has and I suspect that anyone with significant sensitivity to touch will find the Cefaly to be unbearable.

Does it work?

Because I have a migraine every day, I used it at the highest setting to both abort migraine attacks and for prevention. When I first started using it, I got immediate relief for three hours after taking it off. Over six months, that relief slowly diminished until it was completely ineffective. It did not prevent any migraine attacks for me and when I stopped using it, there was no increase in my migraine, frequency, severity or duration.

After I posted that information on my own blog, a company representative contacted me to say that I should use it on the preventive setting, not the acute setting. This will not be an issue for anyone who purchases it in the U.S. because only the preventive program is included.

The research, while early and limited, shows promise (you can read research summaries in External Nerve Stimulation Device for Migraine Prevention Receives FDA Approval). All the rest of the support for the Cefaly is anecdotal. It gets some great reviews on Costco Canada’s website and my headache specialist has a couple patients who say the Cefaly has changed their lives. Of the dozen migraineurs I’ve heard from who have used it, none have reported it being effective as a preventive. About half have gotten relief using it as a migraine abortive.

None of the published research looked at its use for more than a few months, so it’s hard to know if the gradually diminishing effectiveness I experienced was an anomaly. The company representative who contacted me said they’d never heard of anyone who had this issue. I also heard from one blog reader who had exactly the same thing happen to her, but over a five-month period.

Using Cefaly during other activities

The lead researcher of one study said the Cefaly can be worn while doing other things, like making dinner or using the computer. Walking while wearing the Cefaly almost always caused horrendous pain in my forehead. Doing anything that required looking down even a little bit, like at the laptop screen or reading while sitting upright, broke the connection to the electrode, causing it to stop working and play an awful beeping tone. Whenever the program is interrupted, you must start again at the beginning. I could only use it while reclining or lying down, which, of course, limited my activity greatly. Not a big deal if you’re trying to abort a migraine in process, but as a daily preventive, it’s restrictive. Though 20 minutes is short enough to wear it while watching the news or winding down at bedtime.

A warning about noise

Cefaly’s operation is generally quiet, but relies on loud, obnoxious beeps to let you know that you’ve turned it on or paused its intensity. When it stops working out of the blue, which it does if you bump it slightly or lean forward for very long, it plays a super-annoying multi-chimed tone. This happens way more frequently than you’d expect it to. Not exactly the best design for a product intended for migraineurs.


Replacement electrodes are a recurring expense and, with shipping, average out to $10 each. Each one is intended to last for 20 uses. By storing mine in a zip-top bag along with an alcohol-saturated cotton ball, I could get them to last about 30 uses, though they were less conductive the more I used them. Using electrodes beyond their expected life span did not increase the frequency that the device broke connection with the electrode.

Wiping your forehead with alcohol before applying the electrode can help prolong the life of electrodes. With daily use, this can cause your skin to dry out. To combat that, I often used Cefaly immediately after washing my face and skipped the alcohol.


Cefaly takes two AAA batteries. Using it an hour a day, I went through a set of batteries every 10 days or so. Cefaly’s U.S. website says that batteries should need to be replaced once a month if the device is used for 20 minutes every day.

Availability & Price

You can purchase a Cefaly at (be sure to use the .us address, is not accepting U.S. orders at this time). The cost is $295 for the device (plus $29 shipping), which includes one electrode. A set of three replacement electrodes (about two months of use) cost $25 and an additional $5 for shipping.

Cefaly units with three program levels are for sale in Canada, Australia and Europe and you don’t need a prescription. Non-U.S. distributors are not supposed to ship devices to the U.S. As of April, 25, 2014, some readers have reported that Canadian distributors are still shipping to the U.S., but some of those devices have been held up in customs.


Cefaly is unlikely to be the slam-dunk treatment we’d all love to have, but it could be a powerful tool in your migraine toolbox. Trying it is the only way to find out if you can stand the sensation and if it will be effective for you. There’s enough chance that it could help, either as preventive or abortive treatment, that I think it’s worth a try if it’s in your budget.

What’s your experience?

If you’ve tried Cefaly, please share your experience with us and let us know how frequent your migraines are. Does it work for you? What does it feel like to you and it is painful? Do you use it to prevent migraine attacks or stop them once they’ve started? Any other tips or suggestions?

Note: This post was updated to reflect the most accurate availability and pricing information as of April 25, 2014

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • daria
    3 months ago

    I purchased the updated dual device with the magnets.
    the electrodes last less than 4 days. They are quite expensive to replace.
    the device itself falls off after 15 minutes.
    Now to the most important point – cefaly does help with my migraines. It’s just the device falls off and the electrodes last less than 4 days. I am hoping Cefaly can find a way to improve the electrodes and keep the device in place.

  • Peggy Artman moderator
    3 months ago

    Thank you for participitating in our online forum. The Cefaly device is similar to other treatments in that it works for some and for others not so much. I have this type of device myself and it doesn’t really abort my headaches, but it feels comfortable and takes the edge off. The value you can get out of it is really the freshness of the electrodes and of course keeping it charged up.
    ~ Peggy ( team)

    I had the opportunity to talk with a representative from Cefaly and they told me to keep the electrodes in the fridge to keep them fresh longer. A good face wash that will get rid of the oils on our face is very important.

  • Izzy Ramone
    10 months ago

    Fake reviews galore.

  • Ms.PITH
    2 years ago

    I have suffered from migraines for about 30 years. The first 10 years were believing they were sinus headaches…. but later a diagnosis determined that migraines were the culprits. About 4 years ago I was struck by lightning….. not a direct strike…. but close enough to hear the “zap” and feel the buzz go through my body. While you might think this would be a bad thing…. I didn’t have a migraine for over 4 months….. and i had been having them about 3 times a week. So naturally when i heard about the Cefalay, I thought i would be the perfect candidate! It took some time to find a doctor familiar with the device, and I was eager to try it. My first experience was interesting. The first minute or two were a “breeze.”— It felt like a mild tingling… but the intensity grew stronger and stronger over the next few minutes until I found the pain to be unbearable. Over a few weeks I never did work up to the highest recommended intensity as I found the pain to be comparable to the worst migraine ever. I also was worried because the top of my head was numb and i felt “maybe I shouldn’t be fooling around with my brain– it’s the only one I have!” Needless to say the Cefalay was not going to be an option for me and I was very disappointed. I had really had my hopes up for this one! I continue to struggle with the migraines and continue to explore options…….. fingers crossed for “the miracle cure!” Has anyone had success using the Cefalay on a mild setting everyday as opposed to the higher setting?

  • Chen
    3 years ago

    I recommend buying the Cefaly I and not the Cefaly II. Here is why:
    I I wake with a migraine almost every day. I started to use the Cefaly I July 2016. Many times using it for 40-60 minutes when I wake up helps clear the migraine or leave it at a low level so I can avoid taking the Sumatriptan pill. I know I am addicted to the Sumatriptan pill since 2005. Therefore I try to avoid as much as I can taking this pill. With the help of the Cefaly I and a Qi Gong meditation I learnt in China, I am able to take only 2-4 pills a month, most months. The Cefaly didn’t lower the frequency of migraine, but gave me more days that I can fully function. When I heard about the Cefaly II and the Arnold kit, I bought both. The Arnold kit didn’t have any effect for me. The Cefaly II had few problems: The main problem is that the build-in battery doesn’t give any warning that it is almost empty. Instead of lasting over a month, as regular batteries with the Cefaly I do, it lasted for just 4-5 days. It ended abruptly in the middle of the session, so I was lucky I could use the Cefaly I. The Cefaly II cannot be replaced, so if it doesn’t work OK, your device has no use. The end of session in the Cefaly II has such a low volume, sometimes I couldn’t hear it. Finally I sent the Cefaly II back hopefully I will get a refind and I stayed with the Cefaly I.

  • mgh4348
    3 years ago

    I was having migraines 5 days in a row, then maybe skip a week, then for 5 days again. Was taking lots of sumatriptan and worried about its effect on my heart. Tried diltiazem as a preventative and it worked well, but caused really uncomfortable palpitations. My doctor suggested Cefaly, so I purchased the new version of Cefaly (without the band) about 4 months ago. I found it painful and annoying at first, and it took several weeks to ramp up to using it every day and at full strength. Now, I have only about 1 headache per month, and if I use the Cefaly, it usually goes away. It has been amazing for me, and I hope it continues.

  • DonnaFA moderator
    3 years ago

    Hi mgh4348, thanks for being here and for sharing your success with us! We’ll be sending all good thoughts that your way for continued good results. -All Best, Donna ( team)

  • Patric
    3 years ago

    I am sure a Cefaly would work. On more or less the same principle, I bought an Indian Headache Band at an Indian market some time ago and it consists of a wide elastic band secured with velcro which has three magnets: one in the middle of the forehead, and two on each side. Between the side magnets and the middle one are scratchy pieces of plastic which are a sort of irritant. This thing works! It gives great relief when used together with the usual pain-killer pills and a nap. Not expensive, but fairly easy to make oneself. In Zimbabwe where I grew up, an African man I knew used to tie a piece of string around his head with the knot in the middle of the forehead when he had a migraine. Pressure in the middle of the forehead also gives pain relief.

  • DonnaFA moderator
    3 years ago

    Hi Patric, the Indian Headache Band sounds interesting! I’m not sure the irritating bits wouldn’t drive me to distraction, but maybe that’s the idea overall. Thanks for being here and for joining the conversation! -All Best, Donna ( team)

  • Bruna Kleemann
    4 years ago

    Hi everyone,
    I’ve always resisted in trying Cefaly. I don’t know why but I cannot believe that this device do not send any particular electric message to your brain…

    Anyway, yesterday I had an appointment at my pain doctor and as I was in the middle of a migraine episode, we decided to try it when I was there.
    I wore Cefaly for about 5 min and tried both programs. The sensation was a bit awkward and slightly painful so I decided to stop.

    The pain went away for a few minutes but then it came back at the same intensity as it was before I try it.
    When I went home the pain was becoming more intense and I had to take a pill (Almogran). Before I went to bed (3h later) the pain was even more intense. I took a Relpax, that generally makes the pain goes away but has a lot of side effects (memory loss, sleepy, dizzy…).

    This morning when I woke up I had the feeling that my head was being smashed and the pain that is generally on the left side, moved to the right side of my head.

    Needless to say that I was unable to go to work… Right now it is 1pm, I took 1 Almogran when I woke up, another one a few minutes ago, I used my peppermint oil to help me to relief the pain and I still feel like my head is being compressed… and the pain is still on the right side. Besides, I feel like I am doing things in slow-motion, I have trouble to speak and I’m very sensitive to noise…

    It has been a while since I had a bad crisis, as I usually manage to control the pain. This one came right after I tried Cefaly and although I did everything I usually do, the pain is still here.

    All of that to say that I was wondering if anyone had a migraine triggered by Cefaly or if someone saw an important pain increase after using it.

    Thanks for your feedback,

  • Sunny
    4 years ago

    Like any migraine treatment, cefaly may not work for everyone. But for me, it has made a huge difference.

    A few things I have found help me –

    1 – Start small – if it gets too painful, don’t be afraid to hit the button to stop it from intensifying. I always stop it from intensifying after about 5 minutes, and yet it still seems to be working.

    2 – Change the batteries every month – alkaline batteries don’t suddenly stop, they just fade, so it may appear that the cefaly is working but after a month of daily use, it won’t as effective unless you give it fresh batteries.

    3 – Best time to use it seems to be just before bed. For me, it has a sedative effect and I fall asleep about 10 minutes into it – just wish its beeper didn’t go off to wake me up.

    4 – clean your forehead with a wipe or cotton & rubbing alcohol before using. Also, the electrode will last longer if you store in on its plastic sheet, then placed a sealed plastic sandwich bag – press out the air and seal tightly

    BTW, I find the cefaly very painful, so much so that I had it for a year and only used it sporatically.

    But this summer, I had to go off all meds due to esophagus/stomach issues. So I decided to try using the cefaly every night on setting 2.

    What a difference it has made. I have not taken any medicine in this time and I have had three migraines – one lasting 2 days and the others just 1 day each. I had been getting 2-4 a month, each lasting 3-4 intensely painful days. Fingers crossed this continues…

  • Jen5
    4 years ago

    I have been using Cefaly since it was approved in the U.S. The goal for me is to be used as an adjunct in my toolkit to help with my migraines. I already take topamax daily and have chronic daily migraines up to 19-20 a month. My insurance stopped covering Botox. As long as I regularly use Cefaly at least 3 days a week, it has cut my migraines down to about 5-6 a month. It has also aborted a migraine when I put it on during one. It takes a bit to adjust to it and when you start using it, a low frequency is all you should try until you get used to it. I never thought I could handle the strongest setting but now I love it. I understand everyone is difference. I wish the external occipital stimulator would be approved in the US since my main issues is occipital neuralgia but this one is helping tremendously.

  • Michela
    4 years ago

    Hello everyone, I am writing from Italy so please forgive my mistakes.

    I am 36 years old and I suffer from chronic migraine with aura since I was 14. I tried all the available preventive migraine therapies in the past, with no long-effects but a lot of collateral effects.

    At present I suffer from migraine about 12 days/month and I use between 8 and 15 triptans each month since a long time (I could not live without my Eletriptan!).

    I have just purchased a Cefaly device and today I tried it for the first time in the preventive mode for 20 minutes (in Italy I can choose among 3 different programs), with a lot of PAIN and some strange collateral effects (not reported elsewhere, as far as I know), some of them long-lasting (I tried it 8 hours ago).

    Even if it was VERY VERY painful for my forehead and face (up to my dental arch), I used the highest power, as recommended in the Cefaly’s instructions, as nothing is worse for me than migraine…I am quite sure you can understand what I mean! 🙂

    Among the effects, the treatment immediately caused a very intense aura (moste of all photophobia and smell-phobia) and, within 30 minutes, I started having a very strong migraine attack, so that I had to take a triptan after waiting for 3 hours to see if it was a momentary effect.

    My doctor has not experience of this device and cannot help me, I would like to know if my collateral effects are “normal” and if I can keep on trying the Cefaly, but I don’t know who I can ask for advice in Italy (except the Cefaly customer service).

    The effect I am most worried about is the pain I had during the program at my left eye, while the right eye was rapidly blinking for about 5 minutes.
    After the treatment, I went on feeling a light pain at my left eye and I have started suffering for a very very strong photophobia (even after the triptan’s abortive effect, that is quite unusual for me).

    I tried it 8 hours ago and I still feel very weak and my forehead still hurts. During the first 2 hours after the treatment, my forehead was hurting a lot.

    I am afraid about these effects and I do not know if I can repeat the treatmente tomorrow…but I really want to give the Cefaly some chances!!!

    Did anyone experience problems with his/her eyes?

    MANY THANKS to Kerrie and to all of you for your helpful witnesses!


  • Jen5
    4 years ago

    You have to wean up on it slowly. Sometimes it has made my eye hurt but I move the electrode up. I would not give up on it. It takes frequent use to determine it a failure.

  • Sunny
    4 years ago

    Michela – I am sorry you are having such a bad problem. I am not a doctor, and don’t want to give medical advice. But when I first used the cefaly, I also had bad twitching and pain in my eyes.
    I now position the electrode a bit higher on my forehead than their diagram shows it – not too much, just so that the curved section is a bit above my eyebrows.
    I also find that setting 2 is better and less painful for me than setting 1. Plus, I touch the button to stop it from intensifying after 4-5 minutes.
    Also – I don’t move my head – I just sit still with a neck pillow for the 20 minutes.
    I hope some of this can help you.

  • 2a63ol5
    5 years ago

    Thought I would toss my .02 in on Cefaly. Background – I am a physician (anesthesiologist) and a lifelong headache sufferer and didn’t realize till my 30s that my frequent headaches were actually migrainous in nature. It wasn’t until I got a true aura followed by a whopping headache, that was mostly relieved with a sumatriptan tab a colleague gave me, that I made the discovery. Although that was my first classic migraine I started taking sumatriptan for my ‘usual’ headaches and discovered they worked quite well. That was about 15 years ago, I’m now in my mid 40s and have run the gamut of treatment options. Many of these were successful for long stretches before becoming ineffective. At which point I would try something new, often with adequate results. However, near the beginning of this year I found myself in a situation where I had seemingly run out of options. My headaches were coming on every day and despite preventative and abortive therapies I was still suffering. This is when I serendipitously came across cefaly on I did a little research and thought I would give it a try. That was about 4 months ago. I now use cefaly every night on preventative mode and have been quite happy with the results so far. When I first started using it I had much the same experience as Kerrie. It didn’t feel that nice, it actually was quite painful, and after the first use decided to return it. I then didn’t use it again for a several days, and then I got a headache/migraine. I only got partial relief with sumatriptan and thought I would try cefaly again,as I hadn’t returned it yet. This time it still hurt but I did get some relief from my headache, enough that I could get out of bed and resume the daily grind. I then began using it every night in preventative mode and although I still got headaches the next couple of days I found that after 4 or 5 days it started working. The frequency of my headaches declined precipitously. Over the next month I went from using a sumatriptan 5-6 times a week to not needing one at all. I then did get a couple of headaches during one very stressful week, but was good again for another 7-10 days. I now find that I’m getting a headache about once a week. These have always responded to sumatriptan, in fact, I went back to using half the dose. I know it has only been a few months and Cefaly may become ineffective but for now it is really great. I do have a couple of points for prospective Cefaly users to keep in mind – most of the headaches that I get are not classic migraines but are at the lower end of the migraine spectrum. Others may therefore find their result to be less than mine. I have not tried Cefaly with a classic migraine as I only get those once or twice a year. However, my ‘regular’ headaches sometimes do escalate to the point that I have to seek a cold, dark, quiet room where I roll around in bed thinking I’m going to die. And I have found that since using Cefaly I haven’t had one of thsse types of headaches. I do attribute this to Cefaly. Furthermore, Cefaly has allowed me to take ‘drug holidays’ from many of the meds I had been using constantly. And thus when I did start using them again they seemed to be more effective. Although thinking that after a week or two of use Cefaly was a miracle, I have now come to think of it as just another piece of my treatment regimen. That said others may not find it as effective as I have, but for anyone who is at their wits end and is grasping at straws I think Cefaly is worth a try. Oh, one other thing I wanted to mention, I have found that the strong (painful) pressure that I felt right in the middle of my forehead during use can be lessened by furrowing my brow. I now do this automatically when I put it on and it has become a habit, so my treatments are now pretty much pain-free. However, if I do raise my eyebrows during a treatment that painful pressure resumes, but YMMV.

  • Tammy Rome
    5 years ago

    Thank you so much for your thoughts! Your experience highlights a common problem. Too few people know that the headaches they are experiencing are really migraine attacks. Even fewer realize the importance of early diagnosis and treatment. If a doctor can miss it, that shows just how far we have to go in educating the public. I’ve heard that most doctors don’t get much of an education on headache disorders while in medical school. I’m curious to know if that was your experience as well.

  • Nik
    5 years ago

    If you can afford to, buy one.I’ve enjoyed seven weeks relief since the “Cefaly” arrived. It’s way too soon to say if it’s the long term solution we’ve all been hoping for. In my case I had a seven week respite earlier in the year for no obvious reason, followed by three weeks of pain at varying levels culminating in two days of hell.That’s when I bought the device.
    I was able to find a “Cefaly” online for 195€, about 220 dollars.I use it for twenty minutes in the morning before getting up, and another twenty before sleeping at night. I find it very relaxing, and would strongly recommend not doing other things at the same time. My consumption of pain killers has dropped massively.

  • bluebird
    5 years ago

    I have “run out” of options and my specialist has just retired.
    I have ordered the cephaly with dregs of hope. Is there any follow up from folks who have contributed? any new info? I have intractable migraine.

  • nodosa
    5 years ago

    I have been trying cefaly for about two months now. I have near daily chronic migraine and have been unable to work for several years. Ive tried everything that there, my doctor specializes in chronic pain so I know everything has been tried. Cefaly is the new attempt. So far I have found it ineffective as a preventative. Ive found it works amazingly well in the crisis mode when I have a headache but within minutes of the cycle finishing the headache returns the same as before or worse.
    So it is great for when you are waiting for pain medication to kick in but otherwise only delays the pain, Ive tried multiple cycles with the same effect.
    The other downside for me is that it causes a lot of nausea and gravol is ineffective in helping with this. Claims that it has no side effects are clearly false. I wonder if anyone else has experienced this?

  • TC2013
    5 years ago

    A lot of these comments posted sound fake.

  • TC2013
    5 years ago

    It doesn’t surprise me they would say they never heard of anyone having your problem of it not working after a while. They are making big bucks off this, there is no way they would admit to that.

    I have not tried it, but am very skeptical of it and skeptical of the positive reviews posted of it. Other companies over the years have a history of posting fake reviews or hiring people to.

    It would be so easy for fake reviews to be posted here also.

  • Timothy Bauer
    5 years ago

    Thanks for all the reviews. I ordered my Cefaly device-live in U.S.-device has one setting only. They recommend only 1-20 minute session a day.
    Cefaly has a U.S. distribution site now-so my device arrived in about 10 days. Now the cost plus electrodes and shipping runs around $400 for U.S. clients. That is not for the faint of heart. Cefaly offers a 60-day money back guarantee if not satisfied with device or it does not work.
    When a person first uses the device-it may be to powerful at the highest setting. But you can use Cefaly device at a lower setting til your body adjusts to the highest setting. For all headache sufferers-keep in mind what may work for one person-may not work for another. Also many drugs sometimes work for migraneurs then as the body adjusts-the same drug may become less effective. So far the device has not been effective=but have only used for 10 days so far.
    Hope this helps someone

  • Lyn Bratton
    5 years ago

    Hi all! I got my Cefaly as soon as it was approved by the FDA – I took the press release to my doctor and told him, “I want this.” He read it and said, “It’s about damn time they figured out how to make a TENS unit for migraines!” I’ve used it daily, with only two exceptions. I was getting roughly 4 migraines a month, all of which required meds and one of which often required a few extra hours in bed, much to the dismay of my boss. In the first four months, I had three migraines – a few minor ones that didn’t really develop, but two of them required meds and one was an ER trip because meds didn’t work.

    The sensation is interesting. I liken it to a bunch of tiny ants walking across my forehead, eventually developing into a throbbing sensation. Even in seven months of use, I’m still not at the max dosage – I usually stop it about 8-10 minutes in. I’ve had the extremely sharp painful sensations as well two or three times, and you’re right, there’s no telling when those might hit. I’ve taken the Cefaly off and repositioned the electrode and that seems to work. Once I just powered through the pain and it subsided. My husband, though, who suffers from cluster migraines, has tried it a few times and it’s just unbearable for him from the very beginning. I guess I’m just tougher. 😉

    All in all, I think it’s the best $300 I’ve ever spent. I’m getting more migraines now than I did in the first few months, but there are other factors in play (perimenopause in particular) that I think add to it. I’ve recommended it to several friends and will continue to do so.

    For those of you looking for electrodes that you don’t have to wait two weeks or more for, try Amazon. You can get three electrodes for roughly the same price (a little more perhaps) and you can get them in two or three days with no shipping cost.

  • Lyn Bratton
    5 years ago

    One more thing – for electrodes that lose their luster, you can get a thing called Tac Gel at Amazon as well. I’ve used it and, while it’s sticky and leaves a bit of residue, it definitely increases the adhesion and you can keep using the same electrodes. Should you replace them? Of course, eventually – but in case you run out of electrodes before your shipment arrives, it’s not a bad thing to have lying around.

  • Ashbet
    5 years ago

    Well, that’s frustrating — I had written a long, detailed comment, and it never got posted. Thankfully, I’d composed it in Notes, so I still had a copy. (I think it got caught in a moderation loop because I included the Cefaly links, but I’m surprised that it hasn’t been approved since *October*.

    Let’s see if it shows up this time, minus the links.

    As a note, I wrote the original comment on Oct. 13 — as of November 21, I am still achieving significant relief with Cefaly, and have only had 6 migraine days (none of which were totally disabling) since October 6 — compared with the 20+ migraine/facial-pain days that had been normal to me until that point.

    I do have to use it more often than once a day (which my neuro advised — he said to put it on whenever I start feeling the telltale build-up of trigeminal nerve pain), but since there are no side effects, the only problem is an occasional inconvenience when I accidentally break the contact with the electrode if I’m moving around the house and look up or down. The Cefaly doesn’t fall off, it just beeps and I have to press the button to re-start the program.

    * * *

    Hiya! First-time poster, and pardon the novel (I wrote this up for a TN page), but I wanted to give a thorough review of the ups and downs.

    I have treatment-resistant/refractory Type 2 trigeminal neuralgia (since 2008), and have been having classic migraine with aura and nausea since 1988.

    I’m 38, and the TN/multi-day migraines have been disabling — NOTHING touches the pain, other than an opiate/migraine-targeted med combo, which has quite a few side effects, is hard for me to tolerate, and is only partially effective. It keeps me out of the ER, but doesn’t really give genuine relief. If I take it soon enough, I can sometimes keep the migraine to a single day of having to lie in bed with my eyes covered, versus 3-11 days.

    I’m pleased to say that I’ve been having really good luck with the Cefaly so far!

    (I’ve started seeing Dr. Brian Sorin, in Plano, TX, and he’s fantastic
    – he participated in a trial of Cefaly for TN patients, and said that
    he had very good responses. He let me try the Cefaly in his office, and while I was concerned that it might aggravate the pain, it
    actually had an enormous effect from the very first treatment — I
    went nine days with no migraines, and my TN severity and duration was markedly reduced.)

    I bought one from Costco in Canada (you need a Canadian address to
    ship it to, and a friend shipped it to me in the US.) In the US, it
    requires a prescription, whereas in Canada, it doesn’t. Also, both
    the device and electrodes are less expensive through Costco Canada,
    although some of the savings gets eaten up by shipping costs.

    The reason I did this (since I wouldn’t have had a problem getting a
    prescription) was to get the full-featured device, which Dr. Sorin had
    in his office from the trial. The US FDA only approved Cefaly for a
    narrow use (migraine prevention), and US versions of the device only
    have the “prevention” mode, whereas Canadian and European models have three modes (prevention, treatment, and relaxation.)

    I’ve been using the “treatment” mode, in 2-3 20-minute sessions a day (whenever the pain starts to ramp up), and the difference has been incredible. I’ve only had it for a couple of weeks (I first tried it
    in August, and had another in-office treatment in September, but didn’t get mine until October 6, due to some logistics with the friend who was shipping it to me), and I am having *so* much less pain now.

    It’s an uncomfortable sensation (kind of like a cross between a TENS
    unit and a thumbscrew in the middle of your forehead), but it fairly
    quickly turns into a weirdly soothing sensation — yes, it causes some
    “hot” and “pain” responses, but feeling the aggravation in the nerve
    reduce is SO worth it.

    (I actually fall asleep with it on — it seems to like to make me nap
    in my recliner — because I find it relaxing. Then again, I also fall
    asleep in MRI machines, so take that as you may.)

    Apparently, about 1/3 of people who try it (for migraines) don’t get a
    response, and a smaller number can’t tolerate the sensation. Cefaly, the company, is working on some studies to try to find out if there are predictors for whether the device will work for an individual patient, and whether they can tweak the device so that it works for the non-responders in the future.

    At the moment, there is no way to tell whether or not you’ll respond without trying it, although it seems like episodic migraineurs get more relief, and TN patients may have a higher percentage of responders (many people with trigeminal neuralgia also have migraines, like I do.)

    Since it’s an expensive device ($300, and the electrodes are $36.99
    per pack of six at Costco .ca — thankfully, the neurology nurse told
    me that if you clean your forehead and the electrode with an alcohol
    wipe before/after each session, you can re-use them up to 20-ish
    times), I strongly suggest trying it first, if you can.

    It’s becoming more widespread for neurologists to have a device to
    test in their offices, and Cefaly may be able to direct you to a
    neuro in your area with a tester device.

    I would not have believed the level of relief that it’s giving me –
    better than 7 years of anticonvulsants, antidepressants, steroids,
    nerve blocks, dental work, gabapentin/Lyrica, muscle relaxers,
    opiates, and Botox combined. (And the only side effect I’ve
    experienced is a dry spot on my forehead, which I’m ‘treating’ with a
    heavier moisturizer.)

    I’m not a shill for the company and I don’t get any benefit from
    sharing this, other than hoping that some of you can find similar
    relief. My TN has been a daily companion for so many years, and being able to have days where I can smile full-faced and chew and talk and *live* has been a revelation.

    Hoping I don’t develop a tolerance or that somehow it wears off over
    time . . . so far, so good, though. *fingers crossed*

    I still take some of my meds — I have Ehlers-Danlos Syndrome, and I’m going to have some level of pain, no matter what — but I haven’t had to take my TN-specific opiates or any migraine meds in two weeks. My gut is thanking me for letting up on the abuse I was subjecting it to, and I’ve been able to stick to Tramadol and ibuprofen to deal with my joint and spine pain, rather than needing oxymorphone (and hydroxyzine and Zofran, to deal with the oxymorphone side effects), plus Sprix and Migranal, to get even slight relief from the TN pain and the days-long migraines that it causes.

    EDS and opiates don’t play nicely together (I get a
    lot of histamine/itching reactions and opiate issues with my gut –
    which is already dealing with being slow, stretchy, and fragile.) I
    have to take more meds to deal with opiate side effects (hydroxyzine
    for itching, Zofran/ondansetron for nausea, and then Colace, Relistor,
    and Amitiza to deal with the lower-GI effects) than I do for all of my other health issues *combined.*

    Since I’m not a neurosurgery candidate (they’ve never been able to
    actually locate my lesion, and think it may be gradual demyelinization
    instead — I’ve also developed peripheral neuropathy in my hands and
    feet, although I have no idea why the facial nerve was affected so
    strongly, years and years before the other issues cropped up), the
    idea of something that is a non-drug alternative is amazing.

    I wish that it didn’t have such a high up-front cost barrier, and that
    insurance covered it, so that it would be accessible to more people.

    I think that is coming, although perhaps not for some time, and after
    more pressure from migraineurs, neurologists, and physician groups (I think TN patients will join that list eventually, but since the device
    is an off-label use for TN *currently*, since they’re still doing
    efficacy studies, I think the more-numerous migraineurs will have the
    loudest voice for now.)

    I’d love to see the devices available for trial through a doctor’s
    office, or even through rental — it would allow people to find out
    whether it would work for them.

    On the plus side, there are no ongoing costs (as with a monthly drug
    prescription), other than occasionally replacing the two AAA batteries
    (I’d think you could use rechargeables) and buying more electrodes and alcohol wipes. (I get packages of 200 from Amazon for under $4 — the Cefaly wipes are expensive, and they’re no different from regular alcohol wipes.)

    Kerrie, I shared your post with my doctor, to show the reaction of one chronic migraineur with some degree of allodynia.

    (I do not have allodynia, to my knowledge — the left side of my face,
    especially my jaw area, is hypersensitive and TN-triggery, but I don’t
    have increased pain responses elsewhere, and my forehead is far enough away from the most intense source of my pain that it’s not a problem for me.)

    I have one friend who has chronic migraines (it’s intended to be used
    for episodic migraines) and severe allodynia, and she had some trouble adapting to the e-stim sensation. She decided to start on the
    ‘relaxation’ program (the lowest setting) and try to work her way up.

    So far, she’s tolerated a couple of sessions of the prevention setting
    – it’s too soon to know whether this will work well for her, since
    chronic/intractable migraineurs seem to get the least amount of
    relief, from the literature available.

    Trying to share all the good and bad possible outcomes — I appreciate that, even in a “bad” outcome (you can’t tolerate the treatment and it doesn’t work for you), you’re only out some money, rather than dealing with surgical recovery or drug side effects.

    Not that I have money to burn (although I’d think you could likely
    resell a 3-setting Cefaly for as much as you’d pay for it), but given
    some of the genuinely horrific drug side effects I’ve endured over the
    years, not to mention stopping breathing during a nerve block, I’d
    rather that my wallet take the damage, rather than my body.

    Holding out hope for more solutions that are similar to this one, and
    for more access by the people who need it most!

  • migraineprisoner
    5 years ago

    I am in the US and am looking into purchasing Cefaly. I have read most of the comments here however there doesn’t appear to be much that is recent. Is there any more recent info than August of 2014. I am not able to access the site to purchase the device. Any suggestions?

  • nicolaxoxo
    5 years ago

    Hello, now that it is November 2014 I am wondering if it is still possible to order this device in the Canadian version and have it shipped to the US? If so, please direct me to a vendor. I like the idea of having multiple settings so I would really prefer the Canadian version. In reading this blogger’s review, I am not sure this device is even really suited to me as I have chronic daily migraines. At one point she mentioned that it was meant for those with 2-8 migraines per month. I also have significant allodynia.
    I am wondering also about Medicare coverage…..when I called I could not get a straight answer from them. They said my doctor’s office could call, but the doctor’s office is not selling or renting the device so that didn’t make sense to me. The manufacturer does not participate with Medicare, and who can blame them when they can get $349 up front from patients instead of a paltry payout from Medicare? I am not sure when, or if, Medicare will have a code for this specific device. The manufacturer said it could be classified as a TENS device. Has anyone gotten reimbursed by Medicare and if so, how much? Thanks!

  • Gravity
    5 years ago

    My wife, Asian of 40 yr, required an Imigran tablet every other day, literally, for relief of a migraine. I was very worried about her dependency on the medication. After only 2 weeks of using Cefaly at the preventative setting (2) every night for 40 minutes right before going to sleep, she has required Imigran only 8 times in the past 2 months. That’s a drop in frequency from 50% to 13%. She changes the electrode every 15th night. God bless you, Cefaly!

  • Jesienskok
    5 years ago

    Here I sit like a sorry sap, with tears streaming down my face (giving myself a stinking migraine…..gosh!) but just completely hoping this cefaly thingy works to give me some bit of relief. Something has to work….too many tests, too much medication, and never any real answers. I sometimes wish a tumor would have been the cause, have been located, and removed, and get on with life, but instead, nothing is ever simple…no one knows y….. I have had migraines since grade school, like Kerrie. They went un/mis diagnosed until my 20’s when I had my own medical insurance and a voice to get some real help for myself. Now I am in my 30’s and am on SSI because I get sooooooooo many migraines.

    I guess my main question for anyone out there who has used this lil device, HAS ANYONE BEEN ABLE TO COME OFF THERE PREVENTATIVE MEDS?

  • kygama
    5 years ago

    Hi all,
    I don’t know if it’s placebo effect, a natural ending of what has been a stubbornly persistent episode of cluster headaches, but I’ve been using Cefaly for a couple of weeks and it seems to have an abortive effect on my headaches. I’ve got the US version, would love to get my hands on the Canadian version for the lower level setting. I’ve acclimated to the stimulation and now even find it kind of pleasant.

  • Lifetime_Migraine_Sufferer
    5 years ago

    I see now that I posted my review of the CEPHALY in the wrong spot:

    I’ve had my CEPHALY for months now (I also bought mine from Canada before it was approved in the US). I am a chronic/daily migraine sufferer and I gave the CEPHALY more than a fair shot. I used it as directed; level 2 for prevention – daily, level 3 for acute attacks, and level 1 if I’m feeling particularly sensitive/or unable to tolerate the two higher levels. At first it seemed like a novelty because I never used anything like it before. But I have to say I was disappointed overall. It only comes with a few adhesive strips for the sensor, and they wear out very quickly. There’s nothing else available that can be used as an alternative to their sensors so they have to be used sparingly and properly stored. Therefore I bought some tacky conductive gel on Amazon that helped get more life out of them – particularly since the CEPHALY and it’s accessories were back-ordered for over 6 weeks! In addition, I bought two CEPHALY devices because I was so excited about their study outcomes and I didn’t want to be without one (plus I’m desperate for relief)! Both of the devices had a quality issue with the battery compartment on one side; flapping open as it didn’t have a secure closure. It’s a lot to spend on a device that may/may not help you. The directions stated that the device could be used all day during an acute attack; again, no relief for me. The CEPHALY literature originally stated that the CEPHALY was for those migraineurs that had tried everything without success. It’s a great idea but I think if you have mild or infrequent migraines, it may be more for you.

  • Gravity
    5 years ago

    My wife doesn’t have these problems with her Cefaly. She washes her face before using it. Also, my wife didn’t like the feeling (preventative setting) at first (a couple of weeks). But now she likes it, and it puts her to sleep.

    I hope it works for you.

  • reinepapillon
    6 years ago

    I am so glad I have found this site! Was looking for some reviews on the cefaly device and found this amazing site where there are so many people living with migraines too. I haven’t stopped reading all the articles.
    I don’t think I will buy the cefely device though. I live in Australia so we can get it on trial for AU$150 for 3 mths and there are the 3 programs on it so it seems stupid of me not to give it a try… I just don’t feel there’s enough positive results on the net and I’m scared it will make mine worse. I can’t decide!

  • Kerrie Smyres moderator author
    6 years ago

    Thanks for your kind words. I’m so glad you’re finding the site helpful!

    Whether or not to try Cefaly is a personal decision for sure. I haven’t heard from anyone who has had a permanent worsening of symptoms from using it.

    Please let us know how it works for you if you decide to try it.


  • reinepapillon
    6 years ago

    And thank you for this great review!

  • Josiedog
    6 years ago

    Kerrie, Thanks for your excellent review. I also appreciate all of the helpful comments so far.

    I have tried the Cefaly device for two weeks. I can only tolerate the increasing intensity for about two minutes. Even after that, if I raise my eyebrows, my forehead is intensely painful. So I stay very still. The pain of the device is tolerable at the lower level (and I feel I would easily put up with it if it would work). So far, though, my migraine frequency has increased. I’m very disappointed.

    My questions are: If this frequency is not coincidental, is this likely to abate?

    If I keep the intensity at the lower level, will it be effective?

    At this point, I’m going to take a break for a week or so and see if the migraine frequency decreases, and then start using the device again to see what happens. I had really high hopes for this…

    Thanks for any ideas you have.

  • Kerrie Smyres moderator author
    6 years ago

    I’m sorry it isn’t working for you so far. I hope you’re getting some relief after taking a break from it.

    I’m afraid the answer to your first question is no one knows. I haven’t heard from anyone who has had lasting problems connected to the Cefaly, but I’m just one person and anything I hear is anecdotal.

    A lower intensity could be helpful for some, but there’s no hard data about it. It might be that after you get used to it, you can increase the intensity without increasing your migraine frequency.

    I know those answers aren’t very encouraging. You may want to email the company ( to ask your questions. I’m not sure how much information they’ll give you, but they may have more thorough answers than I do.

    Best of luck! Please let us know how it works out for you.


  • Shan43
    6 years ago

    I had put a post on this topic a few weeks ago about possible side effects of the Cefaly device. I decided to start using it over a week ago faithfully and have found it’s not what is causing the symptoms as I’ve had migraine free days after using it. So plugging away and using it every night! I am finding I can’t go full intensity as it’s uncomfortable, however have been adding a little bit each night and the discomfort calms down during the full 20 min session. Still waiting on if it’s going to help me or not!

  • Kerrie Smyres moderator author
    6 years ago

    Exciting to see how many people are getting relief. Please keep the stories coming (whether it worked for you or not)!

  • Scott
    6 years ago

    68 yr old male, I have used Cefaly for so far for 4 months and for me it definitely helps.

  • Fran
    6 years ago

    I have been having Migraines for about 25 years and they transformed into daily headaches that never break about 9 years ago. I ordered my Cefaly the day after it was FDA approved at the suggestion of my neurologist. My experiences with treatment before were all inclusive including 3 in hospital treatments at migraine specialty facilities that lasted from 1-2 weeks each.
    I’ve been using the device for about 4 weeks now (or so). My experience is quite similar to Kerrie’s. I’m hoping the better days I am having will continue as everything I’ve tried in the past has not. I bought the device in the US so it only has one setting which I find too strong at the max strength yet (maybe because I always have a headache). I have had quite a few of the best days I’ve had in years but also “normal” days and a few really bad ones. The company told me that I should wait about 2-3 months to judge the benefit. I’m certainly willing to do that as it is showing some promise. My device also can’t be used while moving around however it is very quiet. I’ve got my fingers crossed.

  • Fran
    6 years ago

    I meant to say HJS785 instead of Kerrie…..sorry!

  • Sharon
    6 years ago

    Hello… I have suffered with migraines for over 40 years. Intense migraines. I have tried every abortive medication and every natural remedy out there. In keeping with the “I’ll try anything” mode, I bought a Cefaly. I have been using it for a month. My life is changed. My migraines are virtually gone. I have had only 1 in the past month. On that day I used the intense migraine setting. I became very sleepy. I slept for several hours and woke up to no, as in it’s gone, headache. I use the preventive setting every day as directed. It takes a little getting use to, but now that I am use to it many times I actually fall asleep with it on. A tiny beep at the end of the session wakes me up. I hope others have the same remarkable results that I am having.

  • Shan43
    6 years ago

    Hello everyone, I have chronic migraines and just got the Cefaly device last week (I live in the U.S. so the device has the one setting). Has anyone experienced a vague headache the next day after using it? First night I used it I had to stop it after a minute or two of building intensity because it was a very bizarre feeling and my forehead was hurting with a lot of pressure. I lasted about 5 min and then stopped it. Had a very weird and vague headache the next day that wasn’t my “norm”. I also was drowsy the next day. The second night I let it build intensity for 3 min and then let it stay there for 10 min. Boy was it hurting! The next day the vague headache was a tad worse and again the drowsiness. I stopped using it and gave it a few days off. I used it again last night and tried to keep the intensity low. Have yet another weird headache today. The intense pressure and pain on my forehead is keeping me from allowing it to get to full strength…and the weird headache the next day is no fun! Has anyone had this reaction? I do have a very sensitive system and react to many things..also have a very delicate nervous system. I’m debating on sending the unit back for a refund. The only thing that’s worked for me is Amerge (a triptan) although I don’t want to depend on it as much as I do.

  • HJS785
    6 years ago

    Background: I am a 70 year old male, in excellent health, retired, but very athletic. I work out several times a week, walk everywhere (live in NYC) play golf in season (attempt to at least) and tend to stay busy with a variety of activities.

    Following an extensive workup by a headache specialist, I was diagnosed with Hemicrania Continua in 2005. HC was verified via taking indomecithan which cleared it up dramatically. However, due to very bad stomach reaction as a result of a high dosage, I was off it within a month. I then existed on Excedrin for 7 years until I found help with a fantastic neurologist headache specialist in NYC. Following a total work ups, scans, I ended up with my second treatment with indomecithan; which again confirmed that I do have HC since it abated almost immediately. This treatment with my new neurologist in 2012 was on a much lower dose (25 vs 100). We thought that had solved the problem except it resulted in a double gastric ulcer which was discovered as a result of my GI doctor who, when planning a colonoscopy found out about the indomecithan and suggested a endoscopy at the same time. Fortunately for me that he did.

    Treatment then moved to a variety of other drugs, which I refused because of potential side effects. Finally ended up with nerve blocks every 3 weeks, Botox every 12 weeks, and a series of nerve ablations in my neck. The nerve blocks and Botox have definitely helped since the number of headaches per month has been reduced – but they’re still with me.

    Enter the Cefaly – about 10 days ago.

    I started the daily regime of 20 minute treatments and, while it is much too soon to report positively on the results, I do seem to feel a little better. My headache is still a constant and it maintains a low level that I call my base line – that is with me all the time. Periodically the headache escalates to a level that most people would find debilitating, but I am so used to it I can just about function at a normal level (except for having an alcoholic beverage that REALLY can put me over the edge – so I resist as much as I can – although I miss my martinis). The daily Cefaly treatments seem to have lowered the base line level that I referred to earlier and I’ve only had 2 severe headaches in the week I’ve been using the Cefaly. That is definitely better and I am hopeful that the progress is not illusionary and I will continue to improve.

    As to cost, I purchased it from the US web site with a doctor’s RX, $295, plus $25 for an extra pack of electrodes, plus delivery. Took about 3 weeks to get.

    I will keep posting and let you know my results.

  • Sofie'smom
    6 years ago

    I just got an Rx from my neuro for the US single-mode Cefaly. Has anyone tried the three-mode version? If so, I’d be interested in the results, and wonder whether it’s worth waiting until I make a business trip to Montreal this summer to get one.

  • marlenerossman
    6 years ago

    Wildly expensive and totally useless. I bought one before the FDA approval and NOTHING happened.

    I do not recommend spending hundreds of dollars on this “wonder woman” machine as it is snake oil in a device.

  • DianeBr
    6 years ago

    My 15 yr old daughter used the Cefaly for the 1st time last night on the lowest setting (3). She’s had a headache since Dec. 3. After 2-3 min using it laying down, the pain was so bad she had to stop. Any suggestions? NOTHING has worked for this headache, including IV cocktails, PT, acupuncture, snake oil….

  • Kerrie Smyres moderator author
    6 years ago

    Try having your daughter press the button right after the program starts, which will keep the intensity from escalating. It will stay at the level she stops it for the rest of the 20-minute session. The manufacturer says that easing in with a lower intensity helps some people adjust to it better. She can slowly increase the intensity if/when she adjusts to it.

  • Shy Sufferer
    6 years ago

    Thanks so much for your review. I just received the Cefaly. Appreciate the tips for use. Seems to be a small number of people that derive benefit from it but here’s hoping I’m one of them.

  • Kerrie Smyres moderator author
    6 years ago

    Please let us know how it goes!

  • mariannshannon
    6 years ago

    I just had a question about Ausanil..has anyone else heard of this or tried it? I just got an email recently about which of course claims that it can get rid of a migraine in seconds..I would appreciate it if anyone has any feedback on this..thanks.

  • Kerrie Smyres moderator author
    6 years ago

    I haven’t tried it, but it is a combination of capsicum (pepper) and ginger. Some people report that capsicum sprays are helpful, while others say they make their migraines worse.

  • marti
    6 years ago

    I’ve used another nasal spray with the same active ingredient, capsicum annum, and it did absolutely nothing for me except burn my nose.
    Be aware, though, that capsicum annum is the scientific name for a species of peppers, and peppers are a common migraine trigger for a lot of people. I just figured out that they’re a big one for me, so I won’t be trying Ausanil. It would just make things worse instead of better.

  • Debbie
    6 years ago

    I purchased a Cefaly unit and electrodes in March 2013 from Lynda Medical Shop via Amazon, where it was available for a short time. I paid $369 plus $49 for a set of 3 electrodes. I have chronic migraine. I used it for 3 months and thought it worked to abort and/or reduce severity only a few times. It didn’t work at all for a severe migraine, it actually made it worse. I sent it back for a full refund after 3 months but had to pay a hefty shipping charge to Europe. At that time, neither Canadian sources (costco) nor the company in Belgium would ship to the U.S. The company had a rental program which wasn’t available to U.S. residents.

  • Kerrie Smyres moderator author
    6 years ago

    Thanks for sharing your story. I’m sorry it made the severe migraines even worse. Best of luck finding a helpful treatment.

  • Kim Leonoudakis
    6 years ago

    I tried Cefaly a few years ago and it made my pain worse. I’ve had chronic daily migraines for over 15 years. I know it’s expensive but if you can do a trial of a neuro-stimulator implant at the Reed Migraine Center in Dallas. It gave me my life back!!!

  • Kerrie Smyres moderator author
    6 years ago

    It’s great that the implant worked for you!

  • Vicki
    6 years ago

    I just contacted Blue Medicare PPO here in Florida about getting a Cefaly for my daughter(21yr old) According to Blue medicare, they do cover the unit with preauthorization from your doctor. They said after info was received, they would let us know any copay’s, etc. That was all the info I could get. I hope it helps others here in the US and especially Florida.

  • Kerrie Smyres moderator author
    6 years ago

    Great information. Thanks for sharing. I hope it helps your daughter.

    (Another tip for anyone curious about insurance coverage: some companies are saying they’ll cover it like they cover TENs units. What this means depends on your particular policy, but it might help your argument to tell them its a TENs unit.)

  • afinkel
    6 years ago

    Hi, Great review! I used cefaly on and off for several months. I used both settings although most of the time it was the abortive setting. I really liked the feeling it created as it helped to obliterate the pain of the migraine. Although once I took it off, the pain was the same. I think sometimes it did take away the pain, if it was only a mild headache. Sometimes I would wear it for several cycles as it was the only thing that seemed to help me. Like you, I found that movement disrupted the connection. I tried using different electrodes thinking that was the problem but after awhile I just got fed up with it as any slight movement was setting off those alarms. I haven’t used it in ages.

  • Kerrie Smyres moderator author
    6 years ago

    Thanks for sharing your experience. I’m sorry it wasn’t more helpful for you. (I have sworn about the alarms many times!)

  • copybyfive
    6 years ago

    I bought a Cefaly while traveling abroad and brought it back to the U.S. and I LOVE it!! I feel so much better and I’ve been able to cut down on medication. I’m glad it will be available here and hope many fellow migraineurs will be able to see their own improvements. Cefaly changed my life.

  • Kerrie Smyres moderator author
    6 years ago

    That’s great news!

  • Lil
    6 years ago

    This may be the prayer answered for our daughter who has a baseline migraine every single day. They spike with the weather. Is it worth it to request a prescription from her neuro or just go about this on our own. Extremely excited as medication often has adverse side effects for her. Medication is not a viable,option so far.

  • Kerrie Smyres moderator author
    6 years ago

    I’m not sure it matters, but I don’t know how many companies outside the U.S. are still shipping it here now that it is available here. Delivery doesn’t begin until the first week of April, so you have some time to get a prescription from her doctor.

  • Pat
    6 years ago

    Isn’t a canadian site? I have corresponded with them and they will ship to US without prescription and it is the 3 program model. I believe price is $349 Canadian dollars. Please tell me that I haven’t walked into a scam site.

  • Kerrie Smyres moderator author
    6 years ago

    It’s not a scam site. The official word is that distributors outside the U.S. (like aren’t supposed to ship to the U.S. now that it’s available here, but some may still be willing to do so.

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