Pharmacological management of acute migraine attacks in children and adolescents presenting to the emergency department

This practice point applies to children and adolescents presenting to the emergency department with acute migraine. Current recommendations on management from relevant studies are summarized with the goal of decreasing practice variation among providers and preventing potential harm to patients. The first-line option for treatment of acute migraine attacks is metoclopramide, and potential second-line options include occipital nerve blocks and intra-nasal lidocaine. Opioids should not be used to treat migraine.