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Germany Issues Updated Migraine Guideline, Including First Patient Version

The document expands evidence-based options; coverage depends on G‑BA decisions.

Overview

  • The scientific guideline adds recent therapies and is accompanied by a new patient guideline that translates recommendations into plain language.
  • Atogepant, a CGRP-receptor–targeting drug, is now approved for migraine prevention and features in the updated recommendations.
  • Remote electrical neuromodulation gains a place as a non-drug option, approved from age 12, though it is not yet an insured benefit.
  • Experts highlight the central role of CGRP, with monoclonal antibodies halving monthly migraine days in more than half of treated patients and showing low reported side effects.
  • Migraine affects up to 15% of people in Germany and about one billion worldwide, remains without a cure, and pediatric services report long waits and gaps in care.