Efficacy, tolerability and barriers to the use of anti-CGRP medications among migraine patients in Egypt: real world experience - Summary - MDSpire

Efficacy, tolerability and barriers to the use of anti-CGRP medications among migraine patients in Egypt: real world experience

  • By

  • Taha, Nourhan Abdelmohsen

  • Gomaa, Manar Abdelazeem

  • Helmy, Shahinaz Mohamed

  • Farag, Sherien Mohamed

  • Moustafa, Ramez Reda

  • June 3, 2026

  • 0 min

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Objective:

To evaluate the real-world use of anti-CGRP therapies in terms of effectiveness, tolerability, barriers to access, and treatment adherence among migraine patients in Egypt.

Approach:
    Key Findings:
    • 68% of patients showed a favorable ≥50% response to treatment.
    • Clinically significant reductions in monthly migraine days, headache severity, duration, HIT-6, and MIDAS scores were observed (p < 0.001).
    • Tolerability of anti-CGRP therapies was generally favorable.
    • Treatment discontinuation occurred in 35 patients, primarily due to satisfactory improvement, lack of improvement, or cost.
    • Relapse occurred in 42.1% of cases after treatment discontinuation.
    Interpretation:

    The study provides insights into the effectiveness and tolerability of anti-CGRP therapies in an Egyptian cohort, while also highlighting challenges related to access and adherence.

    Limitations:
    • Observational design limits the ability to establish causality.
    • Further controlled studies are warranted to validate findings.
    Conclusion:

    The study demonstrates consistent clinical improvement and good tolerability of anti-CGRP therapies among migraine patients in Egypt, alongside significant access challenges.

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