Neurology -- Correspondence for Evers et al., 67 (3) 497-499

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BRIEF COMMUNICATIONS:
S. Evers, A. Rahmann, C. Kraemer, G. Kurlemann, O. Debus, I. W. Husstedt, and A. Frese
Treatment of childhood migraine attacks with oral zolmitriptan and ibuprofen
Neurology 2006; 67: 497-499 [Abstract] [Full text] [PDF]

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Treatment of childhood migraine attacks with oral zolmitriptan and ibuprofen: Dina H Kornblau (31 October 2006)

Treatment of childhood migraine attacks with oral zolmitriptan and ibuprofen 31 October 2006

Dina H Kornblau,
St Barnabas Hospital
4422 Third Avenue, Bronx, NY
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Re: Treatment of childhood migraine attacks with oral zolmitriptan and ibuprofen

kornblaumd{at}yahoo.com Dina H Kornblau

In their article, Evers et al state, "Oral zolmitriptan 2.5mg offered significant pain relief and pain freedom vs. placebo. This study shows that an oral triptan can be efficacious in the treatment of migraine in this age group." [1] In my opinion this statement should be, "Oral zolmitriptan 2.5 mg offered no significant increase in pain relief and pain freedom than ibuprofen."
In my practice, I see children with migraines having been on triptans but never having had a trial of ibuprofen or acetaminophen/aspirin/caffeine, another inexpensive, safe, and efficacious medication. [2] How can we justify starting with a medication that costs $15 per pill when there are other alternatives that are cheap, safe nonprescription and efficacious? It is our responsibility to hold down health care costs.
References
1. Evers S, Rahmann A, Kraemer C, et al. Treatment of childhood migraine attacks with oral zolmitriptan and ibuprofen. Neurology 2006; 67: 497-499
2. Goldstein J, Silberstein, SD. et al: Acetaminophen, aspirin, and caffeine versus sumatriptan succinate in the early treatment of migraine: results from the ASSET trial. Headache 2005;45:973-982.
Disclosure: The author reports no conflicts of interest.
The author had the opportunity to respond but declined.