What is the initial treatment of migraine in children?

Updated: Aug 15, 2019
  • Author: William C Robertson, Jr, MD; Chief Editor: Amy Kao, MD  more...
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The first step in migraine treatment is to explain the disease to the child and the parents. The patient and parents benefit from a simple explanation of the headache pain and reassurance that it is not caused by a brain tumor or other life-threatening condition.

A regular bedtime, strict meal schedules, and avoidance of overloading the child's schedule with activities are important. Helping the child recognize migraine triggers is helpful but often difficult. Eliminating precipitating triggers reduces the frequency of headaches in some patients. Importantly, the patient must have realistic expectations; identifying and avoiding triggers reduce the frequency of migraine headaches but do not eliminate headaches.

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