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Frovatriptan

Triptan · Antimigraine

Also known as FROVA

TriptanAntimigraine
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
, the need to use highly effective contraception
FDA category + note
Top interactionssee all 12
  • AlmotriptanSevereDatabaseDDInter
  • BromocriptineSevereDatabaseDDInter
  • CabergolineSevereDatabaseDDInter
  • CitalopramSevereDatabaseDDInter

Mechanism

Frovatriptan is a selective 5-HT1D/1B receptor agonist that interacts potently with 5-HT1B and 5-HT1D receptors. Its antimigraine effects are thought to be mediated by agonism at these receptors, leading to vasoconstriction of dilated cranial vessels and a reduction in neurogenic inflammation and plasma leakage in the duramater. This action decreases the pain associated with migraine.

Indications

Acute migraine treatmentAcute treatment of migraine

Dosing

Adult
Isometheptene mucate 65 mg, Paracetamol 325 mg Midrid. 325mg/65mg capsules | 30 capsule P £7.50 DT = £7.50. Metoclopramide hydrochloride 10 mg, Aspirin DL-Lysine. 900 mg MigraMax oral powder sachets sugar-free | 6 sachet P. Metoclopramide hydrochloride 5 mg, Paracetamol
Renal adjustment
Reduce dose in renal impairment
Hepatic adjustment
Reduce dose in hepatic impairment

Pharmacokinetics

Onset
May be slower in affording initial pain relief
Duration
Longer duration due to longer half-life, resulting in fewer headache recurrences
Half-life
Longer t½
Bioavailability
Higher oral bioavailability than sumatriptan (second generation triptan)
Metabolism
Metabolized by CYP1A2

Contraindications

  • Ischemic heart disease
  • Coronary artery vasospasm
  • Within 24 hours of another triptan
  • Within 24 hours of an ergot derivative
  • Within 24 hours of SSRIs
  • Within 24 hours of SNRIs

Side effects

Common
DizzinessSomnolenceNeck painChest painParesthesiasAstheniaFatigueFlushingFeelings of pressure/tightnessNauseaSweating
Serious
  • May cause fetal harm
  • Serotonin syndrome
  • Coronary artery vasospasm
  • Transient myocardial ischemia
  • Atrial arrhythmias
  • Ventricular arrhythmias
  • Myocardial infarction

Pregnancy & lactation

Pregnancy

, the need to use highly effective contraception

Lactation

Not recommended during nursing

Drug interactions

Almotriptan
Severe
Database

Clinical effect not specified

Source: DDInter

Bromocriptine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cabergoline
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Citalopram
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Desipramine
Severe
Database

Clinical effect not specified

Source: DDInter

Desvenlafaxine
Severe
Database

Clinical effect not specified

Source: DDInter

Dexfenfluramine
Severe
Database

Clinical effect not specified

Source: DDInter

Dihydroergotamine
Severe
Database

Clinical effect not specified

Source: DDInter

Dolasetron
Severe
Database

Clinical effect not specified

Source: DDInter

Duloxetine
Severe
Database

Clinical effect not specified

Source: DDInter

Eletriptan
Severe
Database

.

Source: DDInter

Ergometrine
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Triptan drugs

Ask House about Frovatriptan

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Sources: KD Tripathi 7e, Goodman & Gilman 14e, BNF·Verified: 2026-05-10 · House clinical team