The optimal management of headaches in children and adolescents

Therapeutic Advances in Neurological Disorders
Joanne KacperskiJessica L Weberding

Abstract

The recognition of the diagnosis of migraine in children is increasing. Early and aggressive treatment of migraine in this population with the use of over-the-counter medications has proven effective. The off-label use of many migraine-specific medications is often accepted in the absence of sufficient evidenced-based trials. Mild to severe cases of migraine should be treated with nonsteroidal anti-inflammatory drugs, with triptans used in moderate to severe headaches unresponsive to over-the-counter therapy. Rescue medication including dihydroergotamine [DHE] should be used for status migrainosus, preferably in the hospital setting. Antiemetics that have antidopaminergic properties can be helpful in patients with associated symptoms of nausea and vomiting through their action on central migraine generation. Furthermore, patients and families should be educated on nonpharmacologic management such as lifestyle modification and avoidance of triggers that can prevent episodic migraine.

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Citations

Oct 17, 2019·Acta Psychiatrica Scandinavica·Rikke WesselhoeftMette Bliddal
Jul 9, 2020·Current Pain and Headache Reports·Klaus WernerAndrew D Hershey
Jan 4, 2017·International Neurourology Journal·Pietro FerraraAlberto Verrotti
Aug 31, 2019·Nursing Children and Young People·Katy Munro
Jun 26, 2020·Journal of Child Neurology·Raymundo Marcelo, Brin Freund
Feb 16, 2018·Pediatric Annals·Marina Khrizman, Ann Pakalnis
Nov 25, 2020·Paediatric Drugs·Gregory L Holmes
May 1, 2021·Behavioral Sciences·Parisa Gazerani

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Methods Mentioned

BETA
sedation

Software Mentioned

PedMIDAS

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