• A network meta-analysis reveals that pregabalin and topiramate, with or without vitamin D3, significantly reduce migraine frequency in children and adolescents.
• The study highlights that pregabalin resulted in a 63% reduction in migraine frequency, which increased to 88% when combined with vitamin D supplementation.
• Flunarizine, levetiracetam, riboflavin, cinnarizine, and amitriptyline also showed potential in reducing migraine frequency, though further studies are needed for confirmation.
• Amitriptyline, topiramate and valproate were associated with the greatest adverse events compared to placebo, underscoring the need for careful monitoring.