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Efficacy of Melatonin Administration in Reducing Headaches in Children with Migraines without Sleep Disorders
Afshin Fayyazi1, Paria Abbasian2, Seyed Mohammad Sadegh Hosseini3
1Department of pediatric neurology, Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Insights
Adding melatonin to propranolol treatment significantly reduced migraine frequency in children. This combination therapy also improved parent satisfaction without notable side effects, offering a promising approach for pediatric migraine management.
Area of Science:
- Pediatric Neurology
- Clinical Pharmacology
Background:
- Migraine is a prevalent neurological disorder in children, impacting their quality of life.
- Melatonin has shown potential in alleviating migraine headaches in some studies.
Purpose of the Study:
- To evaluate the efficacy of melatonin as an adjunct therapy for reducing headache frequency in children with migraine without sleep disorders.
Main Methods:
- A randomized controlled trial involving 55 children (aged 5-15) with migraine.
- Intervention group received propranolol plus melatonin; control group received propranolol alone for three months.
- Data on headache attacks, treatment response, disability, and side effects were collected at baseline and follow-up visits.
Main Results:
- The intervention group showed a significant reduction in headache attack frequency compared to the control group (P=0.006).
- A significantly higher proportion of patients in the intervention group achieved a good treatment response (p=0.023) and reported higher parental satisfaction (P=0.026).
- No significant differences in headache-related disability or drug side effects were observed between groups.
Conclusions:
- Adjunctive melatonin therapy to propranolol is effective in reducing migraine frequency in children without sleep disorders.
- This combination therapy enhances treatment satisfaction among parents.
- Melatonin appears to be a safe and effective addition to standard migraine treatment in pediatric patients.
Objectives:
Migraine is one of the common diseases of children, which can disrupt their quality of life. Some studies have shown the effect of melatonin in reducing migraine headaches. This study aims to investigate the effect of melatonin administration in reducing headaches in children with migraine without sleep disorders.
Materials & Methods:
In this clinical trial study, fifty-five children aged five to 15 years with migraines who had no sleep disorder were enrolled. The control group (twenty-seven patients) was treated with propranolol tablets, and the intervention group (thirty patients) was treated with propranolol tablets plus melatonin tablets for three months. Patients were visited before, one month, and three months after the start of treatment, and their data was collected and recorded.
Results:
The number of headache attacks decreased significantly in the intervention group compared to the control group three months after the treatment (P=0.006). The number of patients with a good response to treatment in the intervention group was significantly more than the control group (p=0.023). Parents' satisfaction with the treatment in the intervention group was significantly higher than the control group (P=0.026). There was no significant difference in the intensity of disability caused by headaches after treatment in the two groups. No significant drug side effects were seen in any of the two groups.
Conclusion:
Adding melatonin to the treatment of children with migraine without sleep disorders significantly reduces the frequency of headache attacks and increases satisfaction with the treatment.
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