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Frovatriptan (Frova™)
Approved by FDA
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Source: Acurian Inc.
by: Carrie Wingate, Ph.D.
06/19/2002
The newest migraine treatment, (Frova™)
2.5-milligram tablets, is now widely available throughout the United
States. Approved by the U.S. Food and Drug Administration for the acute
treatment of migraine attacks with or without aura in adults, Frova
(frovatriptan succinate) is from the well-known class of drugs called
triptans. Frova, however, has a half-life of 26 hours, allowing its active
ingredient to remain in the blood for at least 20 hours longer than any
other triptan.
The debilitating headaches known as migraines are estimated to affect 25
to 30 million individuals in the United States, and are characterized by
recurring symptoms of moderate to severe throbbing pain on one or both
sides of the head, nausea, and sensitivity to light and sound. The average
migraine lasts more than 24 hours, with a range of 4 to 72 hours. A recent
study has shown that 7 of 10 migraine sufferers are dissatisfied with
their current migraine treatment.
Frova treats the pain of a migraine by constricting targeted blood vessels
in the brain. In clinical studies, less than half the patients taking
Frova needed to augment the treatment of their pain with additional
medications, including aspirin.
"Triptans have revolutionized the treatment of migraine and have helped
millions with migraines live more normal lives," stated Roger K. Cady,
M.D., of the Headache Care Center, Primary Care Network in Springfield,
MO, and one of the investigators in the clinical trials of Frova.
"However, despite these advances, there is still room for improvement, as
not everyone gets adequate relief from their migraine treatment. One
important reason is that many times the headache returns even after
treatment."
The effectiveness and tolerability of Frova was demonstrated in five
randomized, placebo-controlled clinical trials involving 4,129 patients.
Compared to placebo, Frova significantly reduced migraine pain. Patients
treated with Frova also reported significant relief of symptoms associated
with migraines, including nausea and sensitivity to light and sound.
Only 1 percent of patients withdrew from the clinical trials because of
adverse events, most of which were reported to be mild or moderate and
transient. Adverse events that were reported by at least 2 percent of
patients included dizziness, fatigue, paresthesia (a burning or prickling
sensation), flushing, headache, dry mouth, hot or cold sensation and chest
pain.

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