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Ibuprofen as effective as triptan for
childhood migraine
A comparison of ibuprofen with zolmitriptan in the treatment of migraine
in children has concluded that they relieve pain equally well (Neurology
2006;67: June 14th, Epub ahead of print).
In this crossover study, 32 children reporting a mean duration of migraine
of 4 years and a mean of 2.6 attacks per month treated their next three
attacks with single doses of placebo, ibuprofen 300 or 400 mg (depending
on age) and zolmitriptan 2.5 mg. Pain relief at 2 hours was reported by
69% of children with ibuprofen and 62% with zolmitriptan compared with
28% with placebo (p<0.01 for drugs vs. placebo). Significantly more
children were pain-free at 2 (ibuprofen 48%, zolmitriptan 45%) and 4 hours
(79% and 66% respectively) with either drug than placebo (7% at both times).
Headache recurrence rates were not significantly different but zolmitriptan
was associated with less use of rescue medication (7% vs. 28% with placebo
and 17% with ibuprofen). Both ibuprofen and zolmitriptan reduced migraine-associated
symptoms such as nausea and photophobia/phonophobia.
Zolmitriptan, but not ibuprofen, was associated with significantly more
adverse events than placebo.
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