A young girl complains of episodic headaches preceded by fortification spectra

A young girl complains of episodic headaches preceded by fortification spectra. Each episode

last for 2-3 days. During headache pt prefers quiet, dark room. What is the tx of choice for acute

stage?

a. Paracetamol

b. Aspirin

c. Sumatriptan

d. Gabapentin

e. Cafergot

Ans. The key is B. Aspirin. This is a wrong key! Correct key is A. Paracetamol. [Aspirin can cause Reye’s syndrome in children, so should not be given. If paracetamol or ibuprofen fail only then triptan should be given under specialist supervision].