How to treat migraines using gammaCore

How gammaCore works

gammaCore activates the vagus nerve with patented, gentle electrical stimulation.
- The vagus nerve is an important highway of communication between your brain and many parts of the body
- The vagus nerve plays an important role in regulating pain

Non-invasive vagus nerve stimulation with gammaCore is believed to help block the pain signals that cause migraine and cluster attacks.
- Unlike traditional vagus nerve stimulation therapies, gammaCore stimulates the nerve non-invasively through the skin without the need for surgery
- Avoids many drug-like side effects and inconveniences associated with injectable, inhaled, or pill-based medicines

Using gammaCore to prevent migraine headache
Daily:
Give yourself 3 treatments (morning, mid-day, and night) consisting of two consecutive 2-minute stimulations.
- The first daily treatment should be applied within 1 hour of waking. The second daily treatment should be applied 4-6 hours after the first treatment. The third daily treatment should be applied at night.
- Apply conductive gel before each stimulation. After 2 minutes, gammaCore will beep twice and automatically discontinue stimulation.
- Stimulations during a treatment should be applied on the same side of the neck. Additional treatments may be applied to either side of the neck.
This is a suggested treatment. Please speak with your healthcare provider to determine the right plan for you.

As soon as a migraine starts
Give yourself a treatment consisting of 2 two-minute gammaCore (nVNS) stimulations.
- Apply the conductive gel before each stimulation. After 2 minutes, gammaCore will beep twice and automatically turn off.
The device should remain off for 10 seconds after each stimulation - Stimulations can be administered on the same side of the neck, or you can switch sides, if preferred
- If pain remains 20 minutes after the start of treatment 1, apply 2 more stimulations
- Two more stimulations may be applied if pain remains 2 hours after the start of treatment 1
This is a suggested treatment. Please speak with your healthcare provider to determine the right plan for you.

Adjunctive use of gammaCore to prevent cluster headache
Daily:
Give yourself 2 treatments (morning and night) consisting of 3 two-minute gammaCore (nVNS) stimulations.
- Apply the conductive gel before each stimulation. After 2 minutes, gammaCore will beep twice and automatically discontinue stimulation
- Stimulations can be administered on the same side of the neck, or you can switch sides, if preferred
This is a suggested treatment. Please speak with your healthcare provider to determine the right plan for you.

Using gammaCore to relieve cluster headache pain
At the earliest sign of pain:
Give yourself a treatment consisting of 3 two-minute gammaCore stimulations.
- Apply the conductive gel before each stimulation. After 2 minutes, gammaCore will beep twice and automatically turn off. The device should remain off for 10 seconds after each stimulation
- Stimulations can be administered on the same side of the neck, or you can switch sides, if preferred
- After completing the 3rd stimulation, you should wait 3 minutes. If pain remains, apply 3 more two-minute stimulations
- You may treat up to 4 attacks (8 treatments) for a total of 24 stimulations per day
This is a suggested treatment. Please speak with your healthcare provider to determine the right plan for you.