A young girl complains of episodic headaches preceded by fortification spectra. Each episode last for 2-3 days. During headache patient prefers quiet, dark room. What is the treatment of choice for acute stage?

The key is B. Aspirin. This is a wrong key! Correct key is A. Paracetamol. [Aspirin may cause reye’s

syndrome in young girl. This is a case of pediatric migraine (pediatric migraine up to 17yrs). In pediatric

migraine paracetamol is 1st line treatment (also ibuprofen). In pediatric migraine GP cannot prescribe

triptan. (only specialist can prescribe triptan in children). Ergot alkaloid should be avoided in children.

Ref: patient.info].