Generic name: frovatriptan [ fro-va-trip-tin ]
Drug class: Antimigraine agents
Dosage form: oral tablet (2.5 mg)
Availability: Prescription only
Pregnancy & Lactation: Risk data available
Brand names: Frova
What is Frovatriptan?
Frovatriptan is a headache medicine that narrows blood vessels around the brain. Frovatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.
Frovatriptan is used to treat migraine headaches. Frovatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.
Frovatriptan should not be used to treat a common tension headache, or a headache that causes loss of movement on one side of your body. Use frovatriptan only if your condition has been confirmed by a doctor as migraine headaches.
Frovatriptan may also be used for purposes not listed in this medication guide.
Warnings
You should not use frovatriptan if you have ever had heart disease, coronary artery disease, blood circulation problems, Wolff-Parkinson-White syndrome, uncontrolled high blood pressure, severe liver disease, a heart attack or stroke, or if your headache seems to be different from your usual migraine headaches.
Do not take frovatriptan within 24 hours before or after using another migraine headache medicine.
How should I take Frovatriptan
You may receive your first dose in a hospital or clinic setting to quickly treat any serious side effects.
Take frovatriptan as soon as you notice headache symptoms. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Never use more than your recommended dose. Overuse of migraine headache medicine can make headaches worse. Tell your doctor if the medicine seems to stop working as well in treating your migraine attacks.
Take 1 tablet whole with a full glass of water.
After taking a tablet: If your headache does not completely go away, call your doctor before taking a second tablet. If your headache goes away and then comes back, take a second tablet if it has been at least 2 hours since your first tablet. Do not take more than 3 tablets in 24 hours.
Call your doctor if your headache does not go away at all after taking the first frovatriptan tablet.
Tell your doctor if you have more than four headaches in one month (30 days). Tell your doctor if this medicine seems to stop working as well in treating your migraine attacks.
Store at room temperature away from moisture and heat.
Dosing information
Usual Adult Dose for Migraine:
Use only after a clear diagnosis of migraine has been established
Initial dose: 2.5 mg orally, once
-Provided there has been some response to first dose, a second dose may be administered at least 2 hours later if migraine returns or symptoms recur.
Maximum dose: 7.5 mg in a 24-hour period
Comments:
-This drug should not be used to treat basilar or hemiplegic migraines because these patients are at a greater risk of stroke.
-The safety of treating an average of more than 4 migraine attacks in a 30 day period has not been established.
Use: For the acute treatment of migraine with or without aura.
Before Taking
You should not use frovatriptan if you are allergic to it, if you have a headache that seems different from your usual migraine headaches, or if you have ever had:
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heart problems, or a stroke (including "mini-stroke");
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coronary artery disease, angina (chest pain), blood circulation problems, lack of blood supply to the heart;
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circulation problems affecting your legs, arms, stomach, intestines, or kidneys;
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a heart disorder called Wolff-Parkinson-White syndrome;
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uncontrolled high blood pressure; or
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severe liver disease.
Tell your doctor if you have ever had:
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liver or kidney disease;
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high blood pressure, a heart rhythm disorder; or
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risk factors for coronary artery disease (such as diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease, or being older than 40 and a man).
It is not known whether frovatriptan will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.
Frovatriptan is not approved for use by anyone younger than 18 years old.
What happens if I miss a dose?
Since frovatriptan is used when needed, it does not have a daily dosing schedule. Call your doctor if your symptoms do not improve after using frovatriptan.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I avoid while using Frovatriptan?
Do not take frovatriptan within 24 hours before or after using another migraine headache medicine, including:
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sumatriptan, almotriptan, eletriptan, naratriptan, rizatriptan, zolmitriptan; or
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ergot medicine such as dihydroergotamine, ergotamine, ergonovine, or methylergonovine.
Avoid driving or hazardous activity until you know how frovatriptan will affect you. Your reactions could be impaired.
Frovatriptan side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Frovatriptan may cause serious side effects. Stop using frovatriptan and call your doctor at once if you have:
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sudden and severe stomach pain and bloody diarrhea;
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severe chest pain, shortness of breath, irregular heartbeats;
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a seizure (convulsions);
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blood circulation problems in your legs or feet--cramps, tight or heavy feeling, numbness or tingling, muscle weakness, burning pain, cold feeling, color changes (pale or blue), hip pain;
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heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
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high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;
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increased blood pressure--severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed; or
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signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance.
Common side effects of frovatriptan may include:
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mild headache (not a migraine);
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feeling too warm or too cold;
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dry mouth, upset stomach;
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chest pain;
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bone or joint pain;
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numbness or tingling in your fingers or toes;
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dizziness, tiredness; or
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flushing (warmth, redness, or tingly feeling).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See more: Frovatriptan Side EffectsWhat other drugs will affect Frovatriptan?
Using frovatriptan while you are using certain other medicines can cause high levels of serotonin to build up in your body, a condition called "serotonin syndrome," which can be fatal. Tell your doctor if you also use:
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medicine to treat depression or a psychiatric disorder;
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medicine for Parkinson's disease;
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medicine for serious infections;
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herbal products;
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stimulant medicine;
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opioid medicine; or
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medicine to prevent nausea and vomiting.
This list is not complete. Other drugs may affect frovatriptan, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
What other information should I know?
Keep all appointments with your doctor. Your blood pressure should be checked regularly.
You should keep a headache diary by writing down when you have headaches and when you take fovatriptan.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.