As is described above, migraine prophylaxis is typically considered when there are 8 or more migraine days each month.

However, there are circumstances where prophylaxis may be appropriate with less frequent migraines. For example, if your child has debilitating migraines that make him miss school several days per month, then it might be appropriate to discuss prophylaxis with your physician. Another situation where prophylaxis should be considered is when the migraines are severe and do not respond to acute medications.

If you think that your child might benefit from migraine prophylaxis, then you should discuss this possibility with your child’s physician. In deciding whether or not to initiate a migraine preventive medication, the severity and impact of the migraines needs to be weighed against the side effects of the medication and the inconvenience of taking a daily medication.