CGRP for chronic migraine and neurologist recommendation?

[david_je]

Anyone here have had CGRP or other newer treatments for chronic refractory migraines and/or could recommend a migraine specialist in Bangkok who really keeps up to date on new treatments?

Thanks.

[scubascuba3]

Would be interesting to hear your symptoms? and how it differs from a regular migraine 

[Sheryl]

https://www.bangkokinternationalhospital.com/health-articles/disease-treatment/anti-cgrp-drugs-new-era-of-migraine-treatment

[david_je]

2 hours ago, scubascuba3 said:

Would be interesting to hear your symptoms? and how it differs from a regular migraine 

They come very frequently or constantly rather than as episodic attacks, and have not responded to conventional medications.

[david_je]

1 hour ago, Sheryl said:

https://www.bangkokinternationalhospital.com/health-articles/disease-treatment/anti-cgrp-drugs-new-era-of-migraine-treatment

I saw that, thank you. Would be interesting to hear from someone who has actually done this, or has seen a really good migraine specialist familiar with such treatments.

[Sheryl]

The doctor listed above is the only one I know of familiar with it. It is quite new.

[Sheryl]

P.S. this treatment would also be extremely expensive. Around 20,000 baht peri njection for the medication alone not including other charges.

 

Have you already tried botox injections?

[david_je]

18 hours ago, Sheryl said:

P.S. this treatment would also be extremely expensive. Around 20,000 baht peri njection for the medication alone not including other charges.

 

Have you already tried botox injections?

Yes, cost is a big concern. I guess getting at public hospital would help. 

I already have tried botox, nerve block, infusions, and all other categories of conventional meds. 

[Sheryl]

3 hours ago, david_je said:

Yes, cost is a big concern. I guess getting at public hospital would help. 

I already have tried botox, nerve block, infusions, and all other categories of conventional meds. 

I much doubt it is available at public hospital but you can try the headache clinic at Chulalongkorn.

 

Even at public hospital the drug cost remains considerable as there are no locally made brands.