CGRP: What is it, and does it affect migraines?

Written by: Dr Mark Weatherall
Published: | Updated: 22/05/2023
Edited by: Conor Lynch

Top Doctors recently spoke to esteemed consultant neurologist, Dr Mark Weatherall, to quiz him with regards to CGRP and CGRP-blocking treatment when it comes to preventing or reducing migraine frequency and/or intensity. 

 

 

What is CGRP?

 

CGRP is a protein that is found within the brain and the body. It was first discovered in the 1980s, and is found in the brain, particularly within pain processing systems, and in the late 1980s and early 1990s, it was found to be very deeply involved in migraine physiology

 

How does blocking CGRP help migraines?

 

Research has found that CGRP was released during migraine attacks, and that when those migraine attacks were treated with drugs, CGRP levels fell. After that then, there was a lot of interest in what CGRP was doing in migraine attacks, and it was subsequently discovered that if an infusion of CGRP was given to people who were prone to migraines, it would actually set off an attack. So, it was concluded that CGRP is one of the most important mediators of pain in migraines

 

How does CGRP-blocking treatment compare to other treatment options?

 

It can be useful both as an acute treatment, and as a preventive treatment. There are going to be new CGRP antagonists which will be available in the coming years that block CGRP when given, and can be very useful and successful when preventing or reducing the intensity of migraine attacks

 

How is CGRP-blocking treatment administered?

 

CGRP-blocking treatments can be given as tablets, injections, or infusions, depending on whether it is being used for acute or preventive treatment. When it comes to acute CGRP-blocking treatment, the treatment that will usually be administered is normally given as tablets, while preventive treatment usually comes in the form of injections or infusions. 

 

 

Book an appointment with Dr Mark Weatherall via his Top Doctors profile today if you are suffering from migraines on a frequent basis, and want to find out more about CGRP-blocking treatment.

By Dr Mark Weatherall
Neurology

Dr Mark Weatherall is one of just a few consultant neurologists in the UK with a subspecialist interest in the management of headaches, and is an expert in headaches of all kinds, from tension-type headaches and migraines to cluster headaches. He also specialises in the treatment of stroke, Parkinson's disease and visual snow and is based in London and Buckinghamshire.

Dr Weatherall qualified in clinical medicine in 1997 from the University of Cambridge before going on to complete further specialist training in neurology. Prior to this, Dr Weatherall was a renowned historian of medicine with a PhD in the subject. He was appointed consultant at Buckinghamshire's Stoke Mandeville Hospital in 2018 having previously run the Princess Margaret Migraine Clinic at Imperial College Healthcare NHS Trust for ten years. He currently sees patients in private practice at the Medical Chambers Kensington and BMI The Chiltern Hospital.

Dr Weatherall's work is widely published in international medical magazines and peer reviewed journals. He is a member of numerous professional organisations within his field, including the British Association for the Study of Headache and the International Headache Society.

Many of Dr Weatherall's patients have suffered from chronic headaches for some time and have previously been unable to find an effective treatment solution or diagnosis. He is passionate about finding the best approach to treatment for each of his individual patients by making use of the latest advances in research along with his extensive clinical knowledge

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