When to Consider Prophylactic Antimigraine Therapy in Children with Migraine

This article reviews current guidelines and practices to provide a better clinical approach in the management of migraines in children and adolescents.Recent findingsCurrently, the only FDA-approved medical treatment option for preventive therapy in chronic migraine in adolescents is topiramate. However, the Childhood and Adolescent Migraine Prevention Study (CHAMP) did not endorse superiority of topiramate or amitriptyline over placebo.SummaryAt this time, there is no clear consensus on when to start preventive therapy in children and adolescents with migraines. The decision is multifactorial and should be initiated after a thorough discussion with the patient and caregiver(s) about related risks and benefits of treatment. Education regarding various modalities of treatment and ensuring compliance is essential to treatment success.
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research