Eptinezumab and Fatigue: What Users Say

• dov...
• Taken for 1 to 2 years
• November 6, 2021

For Migraine Prevention "I have chronic migraines, some of which are hemiplegic, and I have tried so many drugs that didn't work - oral preventatives, Botox, Emgality, etc. Vyepti is the only drug that has helped me at all. Due to my migraine severity, I get the 300 mg dose once every three months. Vyepti brings my head pain from an 8 down to 5, 6, or 7, depending on my menstrual cycle timing. I have far less hemiplegic migraine aura, so I only have full-blown body weakness and trigeminal neuralgia-like face pain at the end of my three-month Vyepti cycle. Pros: less head pain, less face pain, less severe aura, lasts months, manageable short-lived side effects, less painful than self-injected CGRPs, doesn't upset the stomach. Cons: due to my migraine frequency, it takes 1-2 weeks to kick in after infusion, 2 weeks of allergy symptoms after infusion (runny nose, sneezing, itchy eyes, nose, throat, fatigue), nausea after 300 mg infusion (easily fixed with IV Zofran, does not occur with 100 mg dose)."

• DrB...
• Taken for 1 to 6 months
• January 5, 2022

For Migraine Prevention "New neurologist started me on Aimovig 75 mg, then 150 mg, but no improvement of migraines or chronic daily headaches. Asked me to try Vyepti. Vyepti did not reduce migraine frequency, pain level, or chronic daily headaches, but resulted in debilitating fatigue and muscle/joint pain, confusion, concentration and memory issues, vertigo, periodic/recurrent cardiac arrhythmia, and hypertension. Most symptoms resolved over ~6 months, but periodic arrhythmia and hypertension remain. Although Vyepti may work well for some, it is not for all migraineurs."

• Nov...
• Taken for less than 1 month
• September 18, 2024

For Migraine Prevention "I was diagnosed with migraine when I was 5, then, in adulthood, they became chronic. Over the past 3 months, I’ve had daily migraines, and no preventative or triptan has worked on this latest round of daily migraines. I received my first Vyepti infusion one week ago, and I have not had a single migraine since the infusion. So far, this medication is working well to prevent migraines, but for me, there has been a downside. Since receiving the infusion, I have had severe joint pain, and I am exhausted. I’m hoping that the joint pain and fatigue pass soon, but if they do not, I won’t be getting a second infusion. The joint pain is intense, and no OTC pain meds are working to relieve it."

• cf2...
• Taken for 1 to 6 months
• March 14, 2025

For Migraine Prevention "Not sure I get anything from it. The first infusion, I got a worse headache on both sides of my head that lasted about 6 weeks. Nothing would help it. I just took a second infusion (I told the Dr. I would try it for a year), and I am having head pain again, and I am having problems with fatigue. Not sure I will make it to a 3rd try on this, but this was my last hurrah, so unless something else is created, I am at the end of the line."

• 123...
• Taken for 1 to 2 years
• May 20, 2025

For Migraine Prevention "Works well! 100 mg dose: much less constipation than Aimovig high dose. But when I switched to 300 mg, the constipation was so much worse! Fewer/milder migraines, though, so it’s worth it! Without preventative medications, I can barely work part-time. With Vyepti, I can have a career. Fatigue on the day of infusion every time, and sometimes headaches. Shoulder pain for a week following infusion. Been having a lot more nausea, joint pain (knees, back, elbows, shoulders), anxiety, and my hair is so much greasier. Some of this could also be hormonal, as I’m 48 and female."