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Frovatriptan versus zolmitriptan for the acute treatment of migraine with aura: a subgroup analysis of a double-blind, randomized, multicenter, Italian study

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Title
Frovatriptan versus zolmitriptan for the acute treatment of migraine with aura: a subgroup analysis of a double-blind, randomized, multicenter, Italian study
Published in
Neurological Sciences, May 2012
DOI 10.1007/s10072-012-1043-8
Pubmed ID
Authors

Vincenzo Tullo, Gianni Allais, Marcella Curone, Michel D. Ferrari, Stefano Omboni, Chiara Benedetto, Bruno Colombo, Dario Zava, Gennaro Bussone

Abstract

Migraine with aura affects ~20-30 % of migraineurs and it is much less common than migraine without aura. The aim of this study was to compare the efficacy of frovatriptan 2.5 mg and zolmitriptan 2.5 mg in the treatment of migraine with aura. Analysis was carried out in a subset of 18 subjects with migraine with aura (HIS criteria) out of the 107 enrolled in a multicenter, randomized, double-blind, cross-over study. According to the study design, each patient had to treat three episodes of migraine in no more than 3 months with one drug, before switching to the other treatment. The rate of pain-free episodes at 2 h was significantly (p < 0.05) larger under frovatriptan (45.8 %) than under zolmitriptan (16.7 %). Pain free at 4 h, pain relief at 2 and 4 h and recurrent episodes were similar between the two treatments, while sustained pain-free episode was significantly (p < 0.05) more frequent during frovatriptan treatment (33.3 vs. 8.3 % zolmitriptan). Our study suggests that frovatriptan is superior to zolmitriptan in the immediate treatment of patients with migraine with aura, and it is capable of maintaining its acute analgesic effect over 48 h.

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Geographical breakdown

Country Count As %
Ethiopia 1 2%
Unknown 52 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 8%
Student > Master 3 6%
Other 2 4%
Lecturer 2 4%
Researcher 2 4%
Other 3 6%
Unknown 37 70%
Readers by discipline Count As %
Medicine and Dentistry 6 11%
Neuroscience 2 4%
Psychology 2 4%
Nursing and Health Professions 1 2%
Computer Science 1 2%
Other 4 8%
Unknown 37 70%