Abstract | OBJECTIVE: To provide evidence-based recommendations for the acute symptomatic treatment of children and adolescents with migraine. METHODS: We performed a systematic review of the literature and rated risk of bias of included studies according to the American Academy of Neurology classification of evidence criteria. A multidisciplinary panel developed practice recommendations, integrating findings from the systematic review and following an Institute of Medicine-compliant process to ensure transparency and patient engagement. Recommendations were supported by structured rationales, integrating evidence from the systematic review, related evidence, principles of care, and inferences from evidence. RESULTS: RECOMMENDATIONS: Recommendations for the treatment of acute migraine in children and adolescents focus on the importance of early treatment, choosing the route of administration best suited to the characteristics of the individual migraine attack, and providing counselling on lifestyle factors that can exacerbate migraine, including trigger avoidance and medication overuse.
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Authors | Maryam Oskoui, Tamara Pringsheim, Yolanda Holler-Managan, Sonja Potrebic, Lori Billinghurst, David Gloss, Andrew D Hershey, Nicole Licking, Michael Sowell, M Cristina Victorio, Elaine M Gersz, Emily Leininger, Heather Zanitsch, Marcy Yonker, Kenneth Mack |
Journal | Headache
(Headache)
Vol. 59
Issue 8
Pg. 1158-1173
(09 2019)
ISSN: 1526-4610 [Electronic] United States |
PMID | 31529481
(Publication Type: Journal Article, Practice Guideline, Research Support, Non-U.S. Gov't, Systematic Review)
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Copyright | © 2019 American Headache Society. |
Chemical References |
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Topics |
- Adolescent
- Analgesics
(therapeutic use)
- Child
- Evidence-Based Medicine
- Female
- Humans
- Male
- Migraine Disorders
(therapy)
- Pain Management
(methods)
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