Short-Term Frovatriptan for the Prevention of Difficult-To-Treat Menstrual Migraine Attacks

The efficacy of a 6-day regimen of frovatriptan for menstrual migraine (MM; attacks starting on day -2 to +3 of menses) prevention in women with difficult-to-treat MM was assessed. Women with a documented inadequate response to triptans for acute MM treatment were included in this placebo-controlled...

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Veröffentlicht in:Cephalalgia 2009-11, Vol.29 (11), p.1133-1148
Hauptverfasser: Brandes, JL, Poole, AC, Kallela, M, Schreiber, CP, MacGregor, EA, Silberstein, SD, Tobin, J, Shaw, R
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container_end_page 1148
container_issue 11
container_start_page 1133
container_title Cephalalgia
container_volume 29
creator Brandes, JL
Poole, AC
Kallela, M
Schreiber, CP
MacGregor, EA
Silberstein, SD
Tobin, J
Shaw, R
description The efficacy of a 6-day regimen of frovatriptan for menstrual migraine (MM; attacks starting on day -2 to +3 of menses) prevention in women with difficult-to-treat MM was assessed. Women with a documented inadequate response to triptans for acute MM treatment were included in this placebo-controlled, parallel-group trial. Women were randomized to double-blind treatment for three perimenstrual periods (PMPs) with either frovatriptan 2.5 mg (q.d. or b.i.d.) or placebo initiated 2 days before anticipated MM. The efficacy analysis included 410 women with 85% completing three double-blind PMPs. The mean number of headache-free PMPs was 0.92 with frovatriptan b.i.d., 0.69 with frovatriptan q.d. and 0.42 with placebo [P < 0.001 (b.i.d.) and P < 0.02 (q.d.) vs. placebo]. When migraine occurred, severity was reduced with frovatriptan q.d. (P < 0.001) and b.i.d. (P < 0.001) vs. placebo. Both frovatriptan regimens were well tolerated. In women with difficult-to-treat MM, a 6-day regimen of frovatriptan significantly reduced MM incidence and severity.
doi_str_mv 10.1111/j.1468-2982.2009.01840.x
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subjects Adolescent
Carbazoles - therapeutic use
Double-Blind Method
Female
frovatriptan
headache
History, 16th Century
Humans
Menstrual migraine
Menstruation
Middle Aged
migraine
Migraine Disorders - etiology
Migraine Disorders - prevention & control
Serotonin Receptor Agonists - therapeutic use
short‐term prevention
Tryptamines - therapeutic use
Young Adult
title Short-Term Frovatriptan for the Prevention of Difficult-To-Treat Menstrual Migraine Attacks
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