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.
Abstract

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