Treat Migraines With Aquipta

Buy your Aquipta treatment* online in a few simple steps, without having to see your doctor. Our virtual care service connects you to highly trained clinicians who can assess your health needs and safely prescribe your treatment.

* Includes Free Private Prescription & Consultation
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MEDICAL INFORMATION

Aquipta Key Facts

Qulipta, Atogepant

About Aquipta

Atogepant is classed as a calcitonin gene-related peptide (CGRP) receptor antagonist, also known as a gepant. It works by blocking the activity of the CGRP molecule, which has been linked to migraine. By blocking the CGRP-receptor interaction, Aquipta prevents migraine attacks from occurring.
Aquipta is a preventive treatment for migraine, meaning it is taken daily to reduce the frequency of migraine attacks rather than to treat an attack once it has started. It is available with a prescription only. NowPatient offers Aquipta as a preventive treatment for migraines, following an online consultation with a prescribing clinician.

Key facts of Aquipta

  • For the preventive treatment (prophylaxis) of migraine in adults who have at least 4 migraine days per month
  • Aquipta is taken once daily to prevent migraines, not to treat an active migraine attack
  • Aquipta has some common side effects which include nausea, constipation, and fatigue
  • It can be dangerous if you take Aquipta with certain medications such as strong CYP3A4 inhibitors. If you’re not sure if it is safe, discuss this with the prescribing clinician

Who is Aquipta suitable for?

Aquipta is suitable for use in adults over the age of 18.

Who is Aquipta not suitable for?

Aquipta may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Aquipta if you:

  • Have ever had an allergic reaction to atogepant or any of the ingredients in Aquipta
  • Have severe liver disease
  • Have severe kidney disease or end-stage renal disease (for chronic migraine)
  • Are taking strong CYP3A4 inhibitors such as ketoconazole, itraconazole, or clarithromycin
  • Are taking strong OATP inhibitors such as rifampicin
  • Are pregnant or planning to become pregnant
  • Are breastfeeding
  • Are under 18 years of age
  • Are 80 years of age or above

How and where to get Aquipta?

You can buy Aquipta safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.

Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the preventive treatment of migraines, you can discuss if Aquipta is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.

Dosage and strength for Aquipta for migraines

Aquipta is available as tablets for oral administration. It is available in strengths of 10 mg and 60 mg tablets.

The recommended dose is 60 mg taken once daily.

A lower dose of 10 mg once daily is recommended if you are taking certain other medications, such as strong CYP3A4 inhibitors or strong OATP inhibitors, or if you suffer from severe renal impairment (CLcr 15-29 mL/min) or end-stage renal disease (ESRD) (CLcr <15 mL/min).

Information about how to take Aquipta for migraines

Aquipta tablets are taken orally once daily with or without food. It should be taken at the same time each day to help you remember.

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the next dose as scheduled. Do not take a double dose to make up for a forgotten tablet.

Do not stop taking Aquipta without talking to your doctor first, as your symptoms may return if you stop the treatment.

Read the patient information leaflet supplied with your medication or speak to a healthcare professional for medical advice.

What happens if you take too much Aquipta?

There is no known antidote for Aquipta. If you take more than prescribed, you should tell your doctor immediately. Treatment of an overdose should consist of general supportive measures including monitoring of vital signs and observation of the clinical status.

What are the side effects of Aquipta?

Side effects of Aquipta are split into common, uncommon and serious.

Common side effects (may affect up to 1 in 10 people) include:

  • Nausea
  • Constipation
  • Fatigue
  • Somnolence (sleepiness)
  • Decreased appetite
  • Weight decreased

Uncommon side effects (may affect up to 1 in 100 people) include:

  • Increased liver enzymes (ALT/AST increased)

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below, stop taking Aquipta and contact emergency services on 999:

  • Swelling of your face, lips, tongue, or throat
  • Difficulty breathing or swallowing
  • Severe rash, itching, or hives
  • Feeling faint or dizzy
  • Rapid heartbeat
  • Allergic reactions can occur days after taking Aquipta, so be vigilant for delayed symptoms.

Always report adverse effects to the MHRA Yellow Card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient

Information about taking Aquipta at the same time as other medications or herbal supplements

Aquipta can interact with certain medications. You should let your prescribing clinician know if you are taking any of the following:

Strong CYP3A4 inhibitors (dose reduction to 10 mg once daily is required):

  • Ketoconazole
  • Itraconazole
  • Voriconazole
  • Clarithromycin
  • Telithromycin
  • HIV protease inhibitors (indinavir, nelfinavir, ritonavir, saquinavir)

Strong OATP inhibitors (dose reduction to 10 mg once daily is required):

  • Rifampicin (single dose)
  • Ciclosporin

Strong or moderate CYP3A4 inducers (may reduce the effectiveness of Aquipta):

  • Rifampicin (repeat dosing)
  • Carbamazepine
  • Phenytoin
  • Phenobarbital
  • St. John’s Wort

Aquipta has been shown not to have significant interactions with oral contraceptives, acetaminophen (paracetamol), naproxen, sumatriptan, topiramate, famotidine, or esomeprazole.

Can Aquipta taken for migraines, be taken long term?

Aquipta can be taken as a long-term preventive treatment for migraines. However, your doctor should review your treatment regularly to assess whether it is still appropriate.

According to NICE guidance, you should stop Aquipta after 12 weeks if the frequency of migraines does not reduce by at least 50% in episodic migraine (fewer than 15 headache days per month) or at least 30% in chronic migraine (15 or more headache days per month).

Is there a herbal Aquipta?

No. Herbal Aquipta does not exist. If you have been marketed such a formulation, it may be fake.

Can women use Aquipta?

Women can take Aquipta for the preventive treatment of migraine. However, Aquipta is not recommended during pregnancy as there are limited data on its use in pregnant women, and animal studies have shown reproductive toxicity.

It is unknown whether atogepant is excreted in human milk. A decision must be made whether to discontinue breastfeeding or to discontinue Aquipta therapy, taking into account the benefit of breastfeeding for the child and the benefit of therapy for the woman.

If you are pregnant, breastfeeding, or planning to become pregnant, speak to your doctor before taking Aquipta.

Should I avoid any particular food or drink when taking Aquipta?

Aquipta can be taken with or without food. There are no specific dietary restrictions while taking Aquipta.

Aquipta does not contain lactose, so it is fine if you suffer from a lactose allergy or intolerance.

What are the non-active ingredients in Aquipta?

Aquipta contains the following non-active ingredients (excipients):

  • Polyvinylpyrrolidone/vinyl acetate copolymer
  • Vitamin E polyethylene glycol succinate
  • Mannitol
  • Microcrystalline cellulose
  • Sodium chloride
  • Croscarmellose sodium
  • Colloidal silicon dioxide
  • Sodium stearyl fumarate

While lactose-free, Aquipta 60 mg tablets contain 31.5 mg of sodium per tablet.

What lifestyle changes can I make to help me with migraines?

  • Maintain regular sleep patterns
  • Exercise regularly
  • Eat regular healthy meals
  • Stay well hydrated with water
  • Reduce your stress through relaxation techniques such as mindfulness or meditation
  • Avoid known migraine triggers
  • Keep a headache diary to identify patterns and triggers

Alternatives to Aquipta

Alternatives for the preventive treatment of migraines include other CGRP inhibitors such as erenumab (Aimovig), fremanezumab (Ajovy), and galcanezumab (Emgality), or oral preventive medications such as propranolol, topiramate, or amitriptyline.

For acute migraine treatment (treating attacks as they occur), triptans such as sumatriptan, zolmitriptan, rizatriptan, and almotriptan, or painkillers such as paracetamol, aspirin, or ibuprofen may be suitable.

Sources

Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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VIRTUAL HEALTHCARE

What to Expect From Your Online Video Consultation

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Service Guide

Everything You Need to Know About Getting Treated Privately With Aquipta

What does the Get Treated Privately service for Aquipta do?

The Get Treated Privately service is a private prescribing service which is designed for adults aged 18 years and over, who are experiencing health issues and who would like to receive a fast-track assessment and if applicable, a treatment plan from a qualified prescribing clinician. Treatments for Aquipta are dispensed and delivered to your home or workplace from our regulated online pharmacy.

Is this a safe Aquipta prescribing service?

Yes. Our formulary of medications prescribed and conditions treated are controlled, governed, and continuously risk-assessed by our Medical Director, Dr Ihtesham Sabri. Unlike other prescribing services which operate using faceless questionnaires, our Aquipta prescribing service is conducted through remote video consultations, also known as synchronous consultations. This builds patient safety and prescribing appropriateness into our service, ensuring our prescribing clinicians can be satisfied with who and what they are treating. There is no guarantee of supply of medications, and any prescriptions supplied are at the sole discretion of our clinician prescriber. There is no charge for the Aquipta consultation.

What is a prescribing clinician and is it safe for me to use them on the NowPatient platform?

Our prescribing clinicians are board-certified pharmacists, nurses, or doctors who can also prescribe any medicine for any medical condition, subject to accepted accreditation and good clinical practice. They are all registered with their respective regulatory bodies. For example, a pharmacist independent prescriber is registered with the General Pharmaceutical Council (GPhC). Each prescribing clinician undergoes an extensive background check including a disclosure and barring service check (DBS). In addition, they undergo a rigorous license verification process. When you book an appointment with our prescribing clinicians you will see their full name, license number, and any specialized credentials they have.

Is the service available worldwide?

Yes, you can get treated privately for Aquipta worldwide.

Do I need to pay for this service?

Yes. This is a private service. You do not need to pay for the consultation. You only pay for the cost of the Aquipta you are prescribed.

How do I book a consultation?

Once you have logged into your account, you will need to navigate to the Get Treated Privately service card which is located as a service item on the dashboard.

Using the action button on the service card, you can select one of the following – ‘Search Treatments’ or ‘Search Conditions’. From here you can search for Aquipta.

Depending on the search type and the product/condition that you would like to get treated, you will be taken to a consultation booking screen. Follow the simple steps to complete your booking. During the booking confirmation, you will be able to select a date and time that is convenient for you, along with the preferred language and gender of the prescribing clinician you wish to choose. You will then see a list of all available expert clinicians who are trained to assess the medication or condition chosen. Once you have confirmed your booking, you will see a summary of the appointment including preliminary information about the consultation. At this point, you will also be able to add a reminder to your calendar. Always ensure your account health profile is up to date before any consultation. This ensures that our clinicians have the most up-to-date information about your current health status and anything that may influence their prescribing decisions. You will receive a push notification, SMS notification and email reminding you of your consultation, 30 minutes before the virtual consultation is due to start.

Depending on certain medications which require our clinicians to have your up-to-date blood pressure readings, you may be required to submit a virtual blood pressure check, using your smartphone or device. We will provide you with full instructions, when this is required.

What happens during the remote video consultation?

During the consultation, the clinician will ask you a series of questions that will allow the clinician to assess your condition and potential treatment options including Aquipta. At the end of the consultation, the clinician will decide if Aquipta is a safe and suitable option for you.

If it is, the clinician will discuss the treatment option, so that you can jointly agree on the treatment plan. Once you have jointly agreed on a treatment plan, the clinician will issue a prescription for Aquipta which will be available in your Cart at the end of the consultation.

Also, with your consent, the clinician may wish to inform your doctor of the treatment that was prescribed. We recommend that you agree to this since your doctor is responsible for your overall care and they should have a record of this consultation and medication prescribed. In addition, our clinician may take the opportunity to advise you on your overall health including advice on healthy living or stop smoking.

What happens at the end of the Aquipta consultation?

At the end of the consultation, you will receive a notification which will summarise the outcome. It will also advise you if any referrals were made to your doctor, along with any other advice that was given to you by the clinician.

If a referral letter was issued to your doctor, you will be able to view a copy of this in the ‘Documents’ section of the dashboard.

If you were prescribed a treatment, it will now be available in your Cart.

When you go to your Cart, you will be able to select the treatment, checkout and make payment. Once the checkout is complete, your prescription order will be sent to our regulated online pharmacy for processing.

Does NowPatient provide medication advice and counselling as part of its services?

Yes, NowPatient’s pharmacists provide medication advice and counselling across all service areas associated with medication dispensing and supply. Our pharmacists are available to answer any questions you may have about your prescribed medication.

What if the prescriber does not prescribe Aquipta?

We operate a safe prescribing service. This means that our prescribing clinicians always exercise their clinical judgment when prescribing . Unfortunately, we do not operate a self select service where you can choose a medication and simply buy. If the clinician that sees you does not prescribe anything, then you will not be charged.

Will I get status updates for my Aquipta order?

Yes. When your Aquipta prescription is approved, and after you have checked out and paid for your order, we will keep you fully updated with the status of your order. Every time the status of your order changes, you will be notified immediately. These notifications will appear in the ‘Notification Feed’ section on the dashboard.

How will my Aquipta be delivered?

All orders are shipped in discreet and unmarked packaging. This means it is suitable for delivery wherever you require (home, work, or a neighbour).

For thermo-sensitive orders (e.g. Insulin or weight loss injections) we use cold chain-validated packaging. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery.

For your protection and safety, your first order can only be delivered to the address that is registered with NowPatient. Future orders can be delivered to any other address, for example, your workplace.

Do you ship cold-chain or temperature sensitive products?

Yes. We use a specialist courier service for all thermo-sensitive deliveries. This is to ensure that cold chain integrity is always maintained and thus the product quality, safety and efficacy.

Learn more about how we handle the delivery of temperature sensitive products.

Where do you deliver?

We currently deliver to all postcodes/zipcodes worldwide. Some postcodes in rural areas may have a slightly longer delivery time.

When will my order arrive?

We aim to ship all orders placed Monday – Friday before 3pm on the same day. Orders placed outside these times will be shipped the next working day. All deliveries are shipped by Royal Mail, which delivers Monday through Saturday in the UK. For deliveries outside of the UK, please check with your national postal service for accurate delivery days.

Our delivery options have the following delivery times:

  • UK – Royal Mail Tracked 24 & Signed for Delivery – Next day delivery
  • Europe – Royal Mail Tracked – Typical delivery of 3-5 working days
  • Worldwide – Royal Mail – Typical delivery of 5-7 working days. If a tracked option is available for your country via Royal Mail, this service will be applied.

What should I do if my order has not arrived?

Delivery is normally made promptly after your dispatch notification is received. You can check the tracking details of your Aquipta order in the ‘Notification Feed’ section of the dashboard, at any point after dispatch.

Unfortunately, packages can sometimes get lost in the delivery system. If after 10 days you have not received your delivery, please contact us and we will do all we can to resolve the problem.

Can you prescribe GLP-1 weight loss injections?

Yes. However, with GLP-1 weight loss medications, the license requires that there are support resources put in place as part of the plan including coaching for a healthy lifestyle, exercise, and diet. Our clinicians will discuss this with you, if you are prescribed this type of treatment.

You can learn more on our Weight Loss Programs feature page.

What’s included with my order?

If you are ordering prescription medication, your order will contain your medication only.

If you are ordering weight loss injections, your order will contain:

  • Your prescription of pre-filled weight loss injection pens
  • Needles
  • Sharps bin for safe disposal of needles (if ordered as part of the bundle)

Can I reorder my medication, if I have already been prescribed a course?

Yes. However, as a responsible prescribing service, we do not issue more than one monthly cycle of medication at a time.

This means that, if you would like to reorder, you will need to rebook a consultation.

This is important, because it allows our clinicians to keep track on the progress of your treatment plan and ensure that the medication remains safe and effective for you.

What is the earliest I can reorder my medication or treatment?

14 days after you have received your first monthly supply of Aquipta, we will send you a notification to advise you that you are eligible to reorder your medication. To ensure that we are able to safely prescribe Aquipta for the next supply, you will need to rebook a consultation.

This ensures that our clinician can check in on your treatment plan and ensure it is working as intended and continues to be safe, suitable and appropriate for you.

How do I reorder my Aquipta?

When you are eligible to reorder your next Aquipta prescription, we will send you a notification reminder. This notification reminder will request that you book a consultation with a NowPatient Clinician.

You should book a suitable time and date for the consultation.

At the end of the consultation, the clinician may advise you to either

  • Stop the treatment
  • Stay on the current dose of Aquipta
  • Increase the dose of Aquipta

If our clinician deems it safe for you to continue with Aquipta, the prescription will be added to your cart, from where you can checkout.

Delivery will be made in line with our delivery timescales.

As a responsible prescribing service, we will always monitor your Aquipta treatment plan to ensure that it remains safe, effective and suitable for you.

How do I reorder weight loss medication?

Our weight loss programs are built to closely monitor treatment progress and safety. Please refer to the Weight Loss Programs Service Guide that explains how you can reorder or step edit your dose.