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Hi Debbie,   We can't really answer this because we are not medical professionals. We can tell you that pizotifen is not a pain reliever but an antihistamine, sometimes used as a Migraine PREVENTIVE for children who suffer from Migraines. It cannot stop or even relieve the pain of a Migraine attack.   Your doctor or pharmacist may be able to help you with pain relief suggestions for your daughter.   Good luck Nancy
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