How are acute attacks of migraine in children managed?

Updated: Aug 15, 2019
  • Author: William C Robertson, Jr, MD; Chief Editor: Amy Kao, MD  more...
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Measures that may be helpful for managing acute attacks include the following:

  • Advising the child to lie down in a cool, dark, quiet room during the attack and go to sleep

  • Providing simple analgesics (eg, acetaminophen or ibuprofen); if not effective, specific pharmacologic abortive therapies for acute attacks (ie, triptans) may be employed

  • Applying ice or pressure to the affected artery

  • Using nonpharmacologic treatment modalities such as self-relaxation, biofeedback, and self-hypnosis

Analgesic and abortive therapies are for occasional acute attacks and should not be used frequently (frequent use may result in medication-overuse or "rebound" headaches).

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