Does intranasal sumatriptan use relieve migraine in children and young people?

摘要

You are a paediatric registrar in clinic, and you see a 13-year-old boy with a recent diagnosis of migraine. His general practitioner has discussed options such as pizotifen, propranolol and topira-mate, but his parents do not like the idea of him taking a medication daily. Ibuprofen has been tried at the onset of headaches, but has not worked. His parents wonder if there is any other medication that could be used when needed to relieve the pain. You have heard of intranasal triptans being used in adults and sometimes in older children. You decide to review the evidence.