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Treatment of Pediatric Migraine
Journal article   Open access   Peer reviewed

Treatment of Pediatric Migraine

Luana Colloca, Robert D Mauro, Scott W Powers, Christopher S Coffey and Andrew D Hershey
The New England journal of medicine, Vol.376(14), pp.1387-1389
04/06/2017
DOI: 10.1056/NEJMc1701674
PMCID: PMC5495100
PMID: 28382806
url
https://doi.org/10.1056/NEJMc1701674View
Published (Version of record) Open Access

Abstract

To the Editor: Powers and colleagues (Jan. 12 issue) 1 report the results of a randomized, double-blind, placebo-controlled trial investigating the efficacy of amitriptyline and topiramate versus placebo as potential preventive treatments in children and adolescents with migraine. Placebo that was administered for 24 weeks was associated with a clinically significant 61% reduction from baseline in the incidence of migraine, which was larger than the reductions from baseline that were observed with amitriptyline (52%) and topiramate (55%), a finding that brings attention to the placebo response. 2 However, caution is needed in interpreting the reduction in the placebo group. 3 Placebo effects are . . .

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