Zavzpret

— THERAPEUTIC CATEGORIES —
  • Migraine and headache

Zavzpret Generic Name & Formulations

General Description

Zavegepant 10mg; per nasal spray.

Pharmacological Class

Calcitonin gene-related peptide (CGRP) receptor antagonist.

How Supplied

Nasal spray (single dose)—6 units

Manufacturer

Generic Availability

NO

Mechanism of Action

Zavegepant is a calcitonin gene-related peptide (CGRP) receptor antagonist.

Zavzpret Indications

Indications

Acute treatment of migraine with or without aura.

Limitations of Use

Not for prevention of migraine.

Zavzpret Dosage and Administration

Adult

1 spray (10mg) in one nostril as needed. Max 10mg in 24hr period. 

Children

Not established.

Zavzpret Contraindications

Not Applicable

Zavzpret Boxed Warnings

Not Applicable

Zavzpret Warnings/Precautions

Warnings/Precautions

Discontinue and treat if hypersensitivity reaction occurs. Severe hepatic impairment or renal impairment (CrCl <30mL/min): avoid. Pregnancy. Nursing mothers. 

Zavzpret Pharmacokinetics

Absorption

Absolute bioavailability: ~5%.

Distribution

Plasma protein bound: ~90%. 

Mean apparent volume of distribution: ~1774 L.

Metabolism

Hepatic (major CYP3A4, minor CYP2D6). 

Elimination

Fecal (80%), renal (11%).

Half-life: 6.55 hours. 

Mean apparent clearance: 266 L/h. 

Zavzpret Interactions

Interactions

Avoid concomitant OATP1B3 or NTCP inhibitors or inducers. Avoid concomitant intranasal decongestants; if unavoidable, give ≥1hr after Zavzpret dose. 

Zavzpret Adverse Reactions

Adverse Reactions

Taste disorders, nausea, nasal discomfort, vomiting; hypersensitivity reactions. 

Zavzpret Clinical Trials

See Literature

Zavzpret Note

Not Applicable

Zavzpret Patient Counseling

See Literature