Drug-Free Migraine Relief

Nerivio is indicated for migraine patients 12 years of age or older. Nerivio should not be used by people with congestive heart failure, severe cardiac or cerebrovascular disease, or uncontrolled epilepsy. Nerivio should not be used by anyone with active implantable medical devices (eg, pacemaker, hearing aid implant). It should only be applied on the upper arm over dry, healthy skin with normal physical sensation and without any metallic implants or in proximity to cancerous lesions. Nerivio has not been evaluated in pregnancy or those under the age of 12.

Nerivio is available by prescription only and is designed to treat migraine attacks when they occur. For effective results, the treatments should be initiated as early as possible and within 60 minutes of aura or migraine headache onset. Nerivio can be used for additional treatment sessions if the headache is not relieved or if it reoccurs.

Since Nerivio induces a global pain inhibition mechanism in which stimulation in the arm inhibits pain in other areas of the body, the device can be used on either arm independently from the side of the headache.

You should set the treatment intensity level so it feels strong yet comfortable and not painful. This is important to maximize the clinical benefit of the treatment. The intensity can be adjusted in the app by touching the ‘+’ and ‘-‘ buttons. To set the intensity to a personalized optimal level:

Start increasing the stimulation intensity using the ‘+’ button and when the stimulation is painful and/or uncomfortable
Reduce the intensity to one-two units using the ‘-‘ button.
For your safety, continuous presses on the ‘+’ button will result in a gradual increase of the intensity.

Set the intensity at the beginning of your treatment – no need to change it during the 45-minute treatment (unless you set it too high and it’s uncomfortable). The sensation will fade to a comfortable level after a few seconds; there is no need to increase it.

The device transmits electrical pulses. You will need to set the treatment intensity level by increasing it to the highest level that feels strong yet comfortable and painless. You may feel a strong sensation at first, but it will typically fade to a comfortable level after a couple of seconds. If the sensation is uncomfortable or painful, you should decrease the intensity. During the treatment you might experience a temporary sensation of warmth, local tingling, numbness in the arm, pain in the arm, or redness of the skin, which should disappear shortly after the end of the treatment. If you experience hand numbness and/or muscle twitching, try changing the location of the device on the arm.

Yes, treatments with Nerivio can be performed without an internet connection and do not require Wi-Fi or mobile data. An internet connection is only needed when you sign-up for or sign-in to the app. You should stay signed into the app when closing the app after a treatment, therefore internet will not be required for successive treatments.

The device is good for twelve 45-minute treatments, and once those treatments are completed, the device should be disposed according to the instructions.

Theranica has a recycling program; email support@nerivio.com to find out more and request a prepaid envelope. If requesting an envelope, please send your name, address, phone number, and how many devices you would like to recycle. Please write in the email subject line: “Recycling request” and we will send you a prepaid envelope.

To minimize moisture loss, when unused, the electrodes should be covered with the provided protective film and the device should be stored in its original package or in the travel bag. Also, every four treatments, rub the electrodes with your finger using a drop of water to improve their adhesiveness.

Theranica, the Nerivio’s manufacturer, promotes and encourages recycling. They will provide a prepaid envelope to send used devices for recycling. Contact them at support@nerivio.com and provide them with your name, mailing address, phone number, and how many devices you have to recycle. Please write in the email subject line: “Recycling request”.