To prevent migraines, the recommended starting dose of Emgality (Galcanezumab) is 240 mg (2 injections of 120 mg each) injected subcutaneously (under the skin). After the first dose, the regular dose is 120 mg injected subcutaneously once a month. Emgality (Galcanezumab) is intended to prevent migraines. It should not be used for the immediate treatment of migraines.
To decrease the number of cluster headaches within a cluster period, the recommended dose is 300 mg (3 injections of 100 mg) injected subcutaneously once a month. It should be started at the beginning of a cluster of headaches. After 3 weeks your doctor will decide if you should continue treatment. If you do continue treatment, no more than 300 mg of Emgality (Galcanezumab) should be administered per month during the cluster period. Emgality (Galcanezumab) should not be used after the end of a cluster period or during the remission time.
If you are using Emgality (Galcanezumab) at home, your doctor will ensure that you understand exactly how to use it. Make sure you ask any and all questions necessary to ensure that you use it exactly as prescribed. Please read the package insert for information on how to inject the medication properly. It is important to visit your doctor regularly while you are using Emgality (Galcanezumab) to ensure that the medication is working safely and effectively.
Before injecting the medication, check it carefully for particles or discolouration. If the solution is discoloured, has particles in it, or is cloudy, discard the syringe or pre-filled pen and use another one.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take Emgality (Galcanezumab) exactly as prescribed by your doctor.
If you miss a dose, inject it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store Emgality (Galcanezumab) in the refrigerator in its original packaging to protect it from light and moisture. Remove the pen or syringe from the refrigerator 30 minutes before injecting it, to allow it to come to room temperature. Do not freeze or shake Emgality (Galcanezumab). Keep this, and all medications, out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.