Understanding Aimovig: Duration of Effect and Treatment Intervals
Aimovig (erenumab-aooe) is a once-monthly, self-administered injection approved by the FDA for the preventive treatment of migraine in adults. It's a monoclonal antibody that binds to and blocks the calcitonin gene-related peptide (CGRP) receptor, a protein involved in migraine attacks. But how long does Aimovig take to work, and how often should you use it? Let's delve into the science behind Aimovig and provide a comprehensive guide to its duration of effect and treatment intervals.
How Long Does Aimovig Take to Work?
While Aimovig starts working as soon as it's injected, its full effects may take several months to become apparent. Here's a breakdown of what to expect:
- Initial Effects: Aimovig begins blocking the CGRP receptor immediately after injection. However, it may take a few weeks for this blockade to reach its full effect.
- Peak Effects: Clinical studies have shown that Aimovig's peak effectiveness is typically reached after about 3-4 months of consistent use. During this period, patients may experience a significant reduction in migraine frequency and severity.
- Long-term Effects: The long-term effects of Aimovig are maintained with consistent, once-monthly use. In clinical trials, patients continued to experience migraine prevention benefits for up to a year.
How Often Should You Use Aimovig?
Aimovig is designed to be used once monthly, with or without food. It's important to use Aimovig consistently to maintain its preventive effects. Here's a simple guide to help you remember:

- Choose a day each month that's easy to remember, like the 1st or the 15th.
- Mark that day on your calendar or set a reminder on your phone.
- On that day, inject Aimovig under the skin (subcutaneously) in your abdomen, thigh, or upper arm.
- Repeat this process every month to maintain consistent levels of Aimovig in your system.
What If You Miss a Dose?
If you miss a dose of Aimovig, don't double up on your next injection. Instead, inject the missed dose as soon as you remember, then continue with your regular monthly schedule. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule.
Can Aimovig's Effects Wear Off?
With consistent, once-monthly use, Aimovig's effects should not wear off. However, if you stop using Aimovig, its effects will gradually decrease over time. Clinical studies have shown that patients who stopped using Aimovig experienced a return to their baseline migraine frequency within about 3 months.
When to Contact Your Healthcare Provider
While Aimovig is generally well-tolerated, it's essential to stay in touch with your healthcare provider to monitor your progress and address any concerns. Contact your healthcare provider if you experience:

- Severe migraine or increased migraine frequency
- Allergic reactions, including rash, redness, or swelling at the injection site
- Symptoms of an infection, such as fever or chills
Regular communication with your healthcare provider will help ensure that Aimovig remains an effective and safe treatment option for your migraines.