Management of Menstrual Pain in Adolescents

Alternative Treatment Options

• The American Academy of Pediatrics recommends ibuprofen as the first-line NSAID for adolescents aged 12-17 years for pain management, at doses appropriate for body weight 2
• Multiple NSAIDs are approved for adolescents aged 12-17 years for pain management, with ibuprofen being a recommended option 1, 2

Dosing Considerations

• Ibuprofen dosing should be based on age, weight, and comorbidities, with a maximum daily dose of 2400 mg 4

When to Escalate Care

• Referral to specialist care is indicated if acute medication provides insufficient pain relief, according to the American Academy of Neurology 2
• Consider referral to a pediatric specialist when pain significantly impacts daily functioning or quality of life, as recommended by the American Academy of Pediatrics 5