Reviewed by: HU Medical Review Board | Reviewed April 2022 | Last updated: August 2022

The Nerivio™ armband is a new battery-powered wearable device that can be used for the acute treatment of migraine. Nerivio requires a prescription. The US Food & Drug Administration (FDA) has approved it for people age 18 or older who have migraine with or without aura.1-5

Nerivio is made by Theranica Bioelectronics and is what is called an electroceutical. Electro-ceuticals are devices that use electrical impulses to treat various conditions.1-5

The Nerivio armband offers a non-invasive, drug-free treatment option for people with migraine.1

How does Nerivio work?

Nerivio sends electrical impulses to the neural circuits in the body that can cause migraine pain. The armband contains the electronics, a battery, and two electrodes. When worn, the electrodes are placed against the skin of the arm.4-5

Nerivio is placed on the upper arm at the start of a migraine. It should be applied within one hour of the time a migraine begins. Nerivio uses low energy electrical signals to interfere with incoming pain messages to the brain. Nerivio is wireless and designed for home use.3

Nerivio is controlled by an app

Nerivio links to a smartphone or tablet and allows each person to control their own treatment.1-4 The app offers easy, wireless control of the Nerivio device. You can adjust, pause, or stop the stimulation intensity The app also tracks the length of treatment.3

The treatment intensity level should be set so that the electrical pulse feels strong; comfortable but not painful. The device turns off automatically after treatment.4

The Nerivio app also has a migraine diary that tracks the history of treatment sessions. Users can log and share details of each migraine attack. It allows for online consultations with providers who can see the data collected by the device.3

Possible side effects of Nerivio

Neuromodulation devices are an important option to help patients who may be sensitive to the side-effects of migraine drugs, or for those who want a drug-free approach.

The potential risks of Nerivio include:4

  • Software failure that may indirectly result in injury
  • User error that may cause discomfort, injury, or delayed treatment

Nerivio should not be used by people with:

  • Congenital heart failure, severe cardiac or cerebrovascular disease
  • Uncontrolled epilepsy
  • Certain medical devices, such as a pacemaker or hearing aid implant

Using Nerivio with another implantable medical device could cause electric shock, electrical interference, serious injuries, or other medical conditions.4

This is not a complete list of side effects. Talk to your doctor about whether Nerivio is right for you.

Things to know about Nerivio

People using Nerivio report similar relief from migraine compared to acute drug treatment. Prescription drug treatment has been the standard of care for most migraine attacks. Nerivio offers another treatment option for people who continue to have migraine attacks.1

Research suggests Nerivio provides convenient and effective relief from migraine. A study looked at 252 patients from 12 clinics who used Nerivio to treat their migraine. It found that 66.7 percent achieved pain relief while 37.4 percent felt freedom from pain.3

The Nerivio device is good for 12 treatments of 45 minutes. Once those treatments are completed, the device should be disposed of. Each device comes with cleaning and storage instructions.4

For more information, read the full prescribing information of Nerivio.

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