New Guidelines on Acute Treatment of Migraine in Children and Adolescents

Updated guidelines from the AAN focus on effective acute treatments, route of administration, and when to try an alternate medication.

Sponsoring Organization: American Academy of Neurology (AAN)

Background and Objective

The AAN has issued clinical practice guidelines, updated from those published in 2004 (Neurology 2004; 63:2215) on the acute treatment of migraine in children and adolescents, based on a systematic review. The review focused on self-administered treatments and thus does not cover emergency department or urgent care parenteral treatments for migraine in these age groups. (The AAN concurrently published guidelines on migraine preventive treatment; NEJM JW Neurol Nov 2019 and Neurology 2019; 93:500.)

Key Recommendations

Ibuprofen (10 mg/kg) is recommended as an initial treatment in both children and adolescents. For adolescents, triptans (either alone or in combi…

Reviewing Author

Amy A. Gelfand, MD, MAS

New Guidelines on Acute Treatment of Migraine in Children and Adolescents

Topics

Background and Objective

Key Recommendations

Reviewing Author