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Fremanezumab

Monoclonal Antibody · Migraine Prophylaxis

Also known as Ajovy

Monoclonal AntibodyMigraine Prophylaxis
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
Manufacturer advises avoid—limited information available.
FDA category + note

Mechanism

Fremanezumab is a humanised monoclonal antibody that binds to the calcitonin gene-related peptide (CGRP) ligand. By binding to CGRP, it inhibits the function of CGRP at its receptor, preventing its binding and activation of the receptor. This action helps to prevent migraine attacks.

Indications

Prophylaxis of migraine in patients who have at least 4 migraine days per month (initiated by a specialist)

Dosing

Adult
Subcutaneously once per month

Pharmacokinetics

Duration
Monthly

Contraindications

  • Major cardiovascular disease (no information available)

Side effects

Serious
  • Hypersensitivity

Pregnancy & lactation

Pregnancy

Manufacturer advises avoid—limited information available.

Lactation

Manufacturer advises avoid during first few days after birth—possible risk from transfer of antibodies to infant. After this time, use during breastfeeding only if clinically needed.

Related guidelines

Other Monoclonal Antibody drugs

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Sources: Katzung, BNF·Verified: 2026-05-10 · House clinical team