Contraindication: Aimovig® is contraindicated in patients
with serious hypersensitivity to erenumab-aooe or to any of the excipients. Reactions have included
anaphylaxis and angioedema.
Hypersensitivity Reactions: Hypersensitivity reactions, including
rash, angioedema, and anaphylaxis, have been reported with Aimovig® in post marketing
experience. Most reactions were not serious and occurred within hours of administration, although some
occurred more than one week after administration. If a serious or severe reaction occurs, discontinue
Aimovig® and initiate appropriate therapy.
Constipation with Serious Complications: Constipation with serious
complications has been reported following the use of Aimovig® in the postmarketing setting.
There were cases that required hospitalization, including cases where surgery was necessary. The onset
of constipation was reported after the first dose in a majority of these cases, but patients also
reported later on in treatment. Aimovig® was discontinued in most reported cases.
Constipation was one of the most common (up to 3%) adverse reactions reported in clinical studies.
Monitor patients treated with Aimovig® for severe constipation and manage as clinically
appropriate. Concurrent use of medications associated with decreased gastrointestinal motility may
increase the risk for more severe constipation and the potential for constipation-related complications.
Hypertension: Development of hypertension and worsening of
pre-existing hypertension have been reported following the use of Aimovig® in the
postmarketing setting. Many of the patients had pre-existing hypertension or risk factors for
hypertension. There were cases requiring pharmacological treatment and, in some cases, hospitalization.
Hypertension may occur at any time during treatment but was most frequently reported within seven days
of dose administration. In the majority of the cases, the onset or worsening of hypertension was
reported after the first dose. Aimovig® was discontinued in many of the reported cases.
Monitor patients treated with Aimovig® for new-onset hypertension, or worsening of
pre-existing hypertension, and consider whether discontinuation of Aimovig® is warranted if
evaluation fails to establish an alternative etiology.
Raynaud's Phenomenon: Development of Raynaud’s phenomenon and recurrence or worsening of preexisting Raynaud’s phenomenon have been reported in the postmarketing setting following the use of CGRP antagonists, including AIMOVIG. Many of the cases reported serious outcomes, including hospitalizations and disability, generally related to debilitating pain.
AIMOVIG should be discontinued if signs or symptoms of Raynaud’s phenomenon develop, and patients should be evaluated by a healthcare provider if symptoms do not resolve. Patients with a history of Raynaud’s phenomenon should be monitored for, and informed about the possibility of, worsening or recurrence of signs and symptoms.
Adverse Reactions: The most common adverse reactions in clinical
studies (≥ 3% of Aimovig®-treated patients and more often than placebo) were injection site
reactions and constipation.
Aimovig® (erenumab-aooe) is indicated for the preventive treatment of
migraine in adults.
Please see Aimovig® full Prescribing Information.