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首页> 外文期刊>Expert opinion on pharmacotherapy >Treating pediatric migraine: an expert opinion.
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Treating pediatric migraine: an expert opinion.

机译：治疗儿科偏头痛：专家意见。

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INTRODUCTION: Headaches are common in children and adolescents and migraine affects almost 8% of this population. As revisions are made to the ICHD-II criteria to include additional characteristics of pediatric migraine, the diagnosis of migraine is expected to increase. Therefore, it is important to understand and apply successful treatment in acute migraine. Patients and families should be educated about the options for migraine treatment that includes both pharmacologic and conservative behavioral techniques in managing headaches. AREAS COVERED: This review examines the studies that have been performed in pediatric patients, in addition to exploring the treatment options commonly used in pediatrics and adolescents for migraine and their rationale for use. EXPERT OPINION: For the acute treatment of migraine, we recommend the use of ibuprofen or acetaminophen for mild, moderate or severe headache. For moderate to severe headache, or for headaches that fail to respond to over-the-counter medications, we recommend the use of a triptan or combination NSAID/triptan therapy. For preventative treament of migraine, cyproheptadine should be reserved for younger children unable to swallow tablets while amitriptyline is preferred due to its once daily dosing and minimal side effects. Topiramate and divalproate are considerable options depending on patient co-morbid profile and preference.
机译：简介：头痛在儿童和青少年中常见，偏头痛影响了这群的近8％。随着对ICH-II标准进行修订，包括包括儿科偏头痛的额外特征，预计偏头痛的诊断将增加。因此，重要的是要理解和应用成功治疗急性偏头痛。患者和家庭应接受偏头痛治疗的选择，包括在管理头痛中的药理学和保守行为技术。涵盖了地区：本综述审查了在儿科患者中进行的研究，除了探索常见的儿科和青少年常用的治疗选择及其使用的理由。专家意见：对于偏头痛的急性治疗，我们建议使用布洛芬或对乙酰氨基酚进行轻度，中度或严重的头痛。对于中度至严重的头痛，或者对于未能响应过度计量药物的头痛，我们建议使用曲坦或组合NSAID /曲坦治疗。对于对偏头痛的预防性进行术语，脱核酸应保留为未吞咽片剂的年轻儿童，而Amitriptyline是优选的，因为它是每日给药和最小的副作用。取决于患者的共同病态和偏好，Topiramate和Divallate是相当大的选择。

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