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Emgality/Ajovy Shots vs Botox Shots

I have suffered from migraines for 40 years. Deciding monthly shots of either Emgality or Ajovy or opting for Botox shots every 12 weeks. Has anyone tried both. Experiences with either?

  1. Hi @ jenni6,

    Thank you for reaching out to our community with your question. I'm currently not using any of the CGRP preventive medications. I have however, been getting Botox since 8/2016, and it's been beneficial.

    While I don't have personal experience with these medications, I can tell you I've heard from others who are using a combination of them, such as Botox and Emgality, or a different CGRP medications with pretty good results. Many of us living with migraine disease use a combination of things to help manage it including but not limited to; medications, supplements, devices, and complementary therapies.

    I'm sure others will be along shortly to share their experiences with you.

    Wishing you a low pain day,
    Nancy Harris Bonk, Patient Advocate/Moderator

    1. I am wondering this as well! Looking at Botox and was just prescribed Depakote but I'm not a fan of meds. Did you have any issues with Botox? Thanks!

      1. Hi @becky2021,

        I wasn't a fan of Botox for a number of reasons, but am sorry I took so long to try it. It has cut my attacks in half most months. I'm not pain free, and probably won't be due to other conditions, but having fewer migraine attacks a month is a win for me!!

        I didn't have any issues with Botox, other than a TINY bit of discomfort during the injections. And I mean tiny! To me it's well worth it. I understand not being a fan of medications, but the thing is migraine is a disease, and like any other disease, it needs to be managed. Sometimes that means taking medications. Having said that, it doesn't, we'll be on medications forever, or can't use complementary therapies and devices (I do) to assist with managing migraine disease.

        One of the issues with episodic migraine, 14 or fewer attacks a month, is it can transform to chronic, 15 or more attack days a month, fairly quickly if not treated appropriately.

        Will you let me know if you try Botox and how you do?
        Nancy Harris Bonk, Patient Advocate/Moderator

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