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Thursday, January 08, 2009 Tab, Community Member, asks

Q: My 4 year old is suffering from migraines. treatment suggestions?

My 4 year old daughter has been having a run of headaches. They had me treat her with a 1/2 of an Aleve 2ce daily for 3 days along with 6 oz of caffienated beverage. They also have her taking 100mg of Vit B2 2ce a day. She is so young. Anyone have any other suggestions for things I can do? The neurologist says the next step is nortriptiline. I don't want to use that being that she has a history of depression on both sides. I don't want to give her a seratonin boost that she won't need now. I will take anything anyone has to offer at this point. I am just so worried about her.

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Answers (2)
Teri Robert, Health Guide
1/ 8/09 6:35pm



Periactin, an antihistamine, and propranolol, a beta blocker, are the two medications most commonly prescribed for Migraine prevention in children. Discuss your concerns with your daughter's doctor. He should be willing to discuss all options with you and let you take part of deciding what to prescribe for her.


If her doctor isn't able to help you, it may well be time to consult a pediatric Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.


You and your family are bound to be going through a rough time. If you'd like some additional support, come join our discussion forum. You'll need to register again once there because it's a separate membership database, but you can use the same member name, email address, and password that you used here. You can find our forum at There's a special folder for discussing children.


Good luck,


bradleymomma, Community Member
7/ 2/10 12:47am

I was diagnosed with migraine headaches when I was 2 years old and they have unfortuntly been handed down to my four year son, his are so different than mine at first I didnt know what or how to treat them. But, they seem to ease with a cold pack on his head for 10 mins then changing to a hot pack for 10 then keep alternating them till he feels the pain ease. After that I give him a glass of whole milk and make him drink it rapidly. I know it sounds crazy but I have discovered that this works with my son, it saves time from the dr and can be done at home. Hope this helps and good luck.

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By Tab, Community Member— Last Modified: 12/21/10, First Published: 01/08/09