What is the first-line treatment for migraines in children?

Supportive management is considered the first-line treatment for migraines in children. This approach includes measures that aim to alleviate the headache and associated symptoms without the immediate use of medications. Supportive management may involve finding a quiet, dark place for the child to rest, providing hydration, and using over-the-counter pain relievers such as acetaminophen or ibuprofen as needed.

In children, migraines often resolve on their own, and supportive care can be sufficient to help them manage their symptoms. It is crucial to avoid aggressive treatments or medications that may not be suitable or effective for younger patients. In contrast, more advanced options like oral triptans, while effective for adults, are typically not the first choice for children due to dosing concerns and potential side effects. IV fluids and narcotics are reserved for more severe cases or when an acute intervention is necessary, making them secondary options rather than first-line treatments.