Effect of vitamin D therapy in addition to amitriptyline on migraine attacks in pediatric patients

A Cayir1, M I Turan2, H Tan3

  • 1Department of Pediatric Endocrinology, Regional Training and Research Hospital, Erzurum, Turkey.

Insights

This study found that vitamin D supplementation, alongside amitriptyline, significantly reduced migraine attacks in children. Even with normal vitamin D levels, adding it to treatment improved outcomes for pediatric migraine patients.

Area of Science:

  • Pediatric Neurology
  • Nutritional Neuroscience
  • Migraine Pathophysiology

Background:

  • Migraine is a prevalent neurological disorder in children.
  • Vitamin D deficiency is common and may influence neurological conditions.
  • Current treatments for pediatric migraine have limitations.

Purpose of the Study:

  • To evaluate the efficacy of supplementary vitamin D in pediatric migraine patients receiving amitriptyline.
  • To assess the impact of varying vitamin D dosages based on baseline 25-hydroxyvitamin D [25(OH)D] levels.

Main Methods:

  • Fifty-three children (8-16 years) with migraine were enrolled and categorized into four groups based on 25(OH)D levels.
  • Groups received either amitriptyline alone or amitriptyline plus varying daily doses of vitamin D (400-5000 IU/day) for 6 months.
  • Migraine attack frequency and biochemical markers (calcium, phosphorus, etc.) were monitored pre- and post-treatment.

Main Results:

  • All vitamin D supplemented groups showed a statistically significant reduction in migraine attacks compared to baseline.
  • Groups receiving vitamin D alongside amitriptyline experienced fewer migraine attacks (1.15-2.14 attacks) versus amitriptyline alone (3 attacks).
  • No significant changes were observed in calcium, phosphorus, alkaline phosphatase, or parathormone levels across groups.

Conclusions:

  • Vitamin D supplementation, when added to amitriptyline, effectively reduces migraine attack frequency in pediatric patients.
  • The study suggests a potential therapeutic role for vitamin D in managing pediatric migraine, irrespective of baseline vitamin D status.
  • Further research is warranted to optimize vitamin D dosing strategies for migraine management in children.

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