Frovatriptan and Menstrual Migraine
| Status: | Terminated |
|---|---|
| Conditions: | Migraine Headaches, Women's Studies |
| Therapuetic Areas: | Neurology, Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | April 2010 |
| End Date: | May 2010 |
Mapping CNS Changes to Frovatriptan Administration in Acute Treatment of Prodrome or Preventative Treatment of Menstrual Migraine (MM)
We are looking for women who suffer from menstrual migraine to participate in a 2-visit
migraine brain imaging research study. Our goal is to see how the menstrual migraine brain's
pain pathways function when the migraineur has been taking Frovatriptan. During the screening
visit (Visit 1) participants will sign the informed consent form, complete questionnaires,
meet with the study physician, and have QST (quantitative sensory testing: to determine your
pain thresholds for a heat stimulus) performed. For Visit 2's MRI scan, subjects will be
asked to lie very still while the scan is occurring. In some parts, they will not have to do
anything, while in others they will be asked to rate pain and unpleasantness for brush and
thermal stimuli. Participants are compensated for both visits.
migraine brain imaging research study. Our goal is to see how the menstrual migraine brain's
pain pathways function when the migraineur has been taking Frovatriptan. During the screening
visit (Visit 1) participants will sign the informed consent form, complete questionnaires,
meet with the study physician, and have QST (quantitative sensory testing: to determine your
pain thresholds for a heat stimulus) performed. For Visit 2's MRI scan, subjects will be
asked to lie very still while the scan is occurring. In some parts, they will not have to do
anything, while in others they will be asked to rate pain and unpleasantness for brush and
thermal stimuli. Participants are compensated for both visits.
Inclusion Criteria:
- Female
- Regular Menstrual Phase
- Menstrual Migraine
- No significant medical history (Significant medical history of such as seizure
disorder, diabetes, alcoholism, cardiac disease including coronary artery disease,
psychiatric problems; drug addiction, respiratory problems, liver disease, etc.)
- No significant medication history, except for migraine
- All patients will be currently taking or have previously taken triptan medications for
migraine
- Weight, <285 pounds
- Not claustrophobic
- No contraindication to taking triptans
Exclusion Criteria:
- Age <18
- Significant medical problems (aside from pain before, during and after migraine
episodes)
- Positive drug of abuse screen (excluding medications currently prescribed for their
clinical condition, e.g. opioids, benzodiazepines, etc.)
- Positive alcohol screen
- Women taking oral contraceptives
- Claustrophobia
- History of dermatological hypersensitivity in the facial area
- Positive history of cardiac problems/ abnormalities seen in EKG at initial screening
visit
- Pregnancy
- Sensory loss detected on Quantitative Sensory Testing at screening
- Significant alcohol history (ingestion of 5 or more glasses (> 40 oz) of alcohol per
week)
- Metal implants of any type (including dental bridges, crowns, retainers, orthodontic
devices e.g. braces, etc.)
- Tattoos containing metallic ink on the neck, shoulders, upper arm and head (which
could become heated up in the scanner, and potentially cause blistering or burning)
- Cardiac pacemakers
- Aneurysm clips and other vascular stents, filters, clips or other devices
- Prosthetic heart valves
- Other prostheses
- Neuro-stimulator devices
- Implanted infusion pumps
- Cochlear (ear) implants
- Ocular (eye) implants or known metal fragments in eyes
- Exposure to shrapnel or metal filings (sheet metal workers, welders, and others)
- Other metallic surgical hardware in vital areas
- Use of any of the following medications:
- Propanolol/ Inderol
- SSRI's: citalopram/ Celexa, Lepraxo, paroxetine/ Paxil, fluoxetine/ Prozac, Sarafem,
Symbyax, sertraline/ Zoloft, Fluvoxamine/ Luvox
- SNRI's: duloxetine/ Cymbalta, venlafaxine/ Effexor
- triptans: sumatriptan/ Imitrex, naratriptan/ Amerge, zolmitriptan/ Zomig, rizatriptan/
Maxalt, eletriptan/ Relpax, almotriptan/ Axert
- ergotamine type medicines: Bellergal, Cafergot, Ergomar, Wiraine, Migranal/ DHE45,
Sansert
- ketoconazole (Nizoral, Fungoral)
- itraconazole (Sporanox)
- ritonavir (Norvir)
- erythromycin (Erythrocin)
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