Pinky S. Tiwari, M.D., P.A. Diplomate, American Board of Neurology Diplomate, American Board of Electrodiagnostic Medicine St. Luke’s Medical Tower 6624 Fannin, Suite 2190 Houston, TX 77030 Telephone: (713) 790 – 1775 www.texasneuro.com Fax: (713) 790 – 1605 FROVA FROVATRIPTAN - ORAL Pronunciation: (froh-vuh-TRIP-tan) BRAND NAME(S): Frova USAGE: Frovatriptan is used to treat migraine headache attacks. It does not prevent migraine headaches from occurring and should not be used for other types of headaches (e.g., cluster headaches, tension headaches). HOW TO USE Take this medication by mouth as directed by your doctor for migraine headache. It may be taken with or without food although faster relief may occur when taken on an empty stomach. If the headache returns or you have no relief from the first dose, a second dose of this medication may be taken 2 hours after the initial dose. Do not take more than three doses of this medication in a 24- hour time period. If you have never taken this medication before and you have risk factors for heart disease (see Precautions), you may be advised to take the very first dose in your doctor's office in order to monitor for rare but serious heart problems (e.g., heart attack). SIDE EFFECTS: Stomach upset, drowsiness, dizziness, diarrhea, headache, flushing, dry mouth, or feelings of hot or cold may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: vomiting, tingling or numbness of the hands/feet, chest pain, pain or tightness in the neck/throat/jaw, unusual weakness (fatigue), bone pain. Tell your doctor immediately if any of these unlikely but serious side effects occur: muscle pain, stomach pain, unusual swelling, mental/mood changes, eye discomfort, ringing in the ears, trouble urinating (e.g., pain, discomfort, or frequent urination). Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: unusually fast/slow/irregular heartbeat, chest pain, trouble breathing, stomach pain, bloody diarrhea, one-sided weakness, vision problems, slurred speech, confusion. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. PRECAUTIONS: Before taking frovatriptan, tell your doctor or pharmacist if you are allergic to it; or to other "triptan" migraine drugs; or it you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: chest pain (angina), history of stroke, history of heart attack(s), other heart or blood vessel disease (e.g., cardiovascular ischemia, bowel ischemia), uncontrolled high blood pressure. Before using this medication, tell your doctor or pharmacist if you have risk factors for heart disease including: high cholesterol level, high blood pressure, diabetes, smoking history, family history of heart disease or stroke, obesity. Caution is also recommended in women after menopause or after removal of the ovaries, and men over 40 years old because of an increased risk for undiagnosed heart disease. Tell your doctor your medical history, especially of: certain blood circulation disorders (e.g., Raynaud's syndrome), intestinal problems/disease. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This drug should not be used in people under 18 years of age. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug passes into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding. DRUG INTERACTIONS: Do not take other "triptan" migraine drugs (e.g., sumatriptan, zolmitriptan) or ergot-type drugs (e.g., dihydroergotamine, ergotamine, methysergide) within 24 hours of taking this medicine. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: "serotonin-type" medications (e.g., SSRI antidepressants such as fluoxetine, sertraline), propranolol. Do not start or stop any medicine without doctor or pharmacist approval. OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include: severe dizziness, blurred vision, or unusually fast or irregular heartbeat. NOTES: Do not share this medication with others. Laboratory and/or medical tests may be performed to monitor your progress and/or your risk of side effects. MISSED DOSE: Not applicable. STORAGE: Store at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Brief storage temperatures ranging from 59 to 86 degrees F (15 to 30 degrees C) is permitted. MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).