Migraine – acute treatment — RACP Paediatrics MCQ

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EasyNeurologyMigraine – acute treatmentRACP Paediatrics

A 10-year-old with known migraine presents with a moderate headache, nausea, and photophobia that started 2 hours ago. What is the most appropriate acute treatment?

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Correct answer: E — Ibuprofen

Simple analgesics (ibuprofen or paracetamol) given early in the migraine attack are the first-line acute treatment for paediatric migraine. Ibuprofen has the best evidence for efficacy in children. It should be given at the onset of symptoms. Antiemetics (e.g., ondansetron) can be added if nausea is prominent. Triptans are second-line for children >12 years.

Reference: RCH Melbourne – 2023 – Headache CPG; Australian Therapeutic Guidelines – 2024 – Neurology