Jayla Is a 9 Year Old Who Has Been Diagnosed

Jayla is a 9 year old who has been diagnosed with migraines for almost 2 years.She is missing up to a week of school each month.Her headache diary confirms she averages four or five migraines per month.Which of the following would be appropriate?

A) Prescribe amitriptyline (Elavil) daily,start at a low dose and increase dose slowly every 2 weeks until effective in eliminating migraines
B) Encourage her mother to give her Excedrin Migraine (aspirin,acetaminophen,and caffeine) at the first sign of a headache to abort the headache
C) Prescribe propranolol (Inderal) to be taken daily for at least 3 months
D) Explain that it is rare for a 9 year old to get migraines and she needs an MRI to rule out a brain tumor