Migraine is common in children and is one of the most common etiologies of headache leading to emergency room presentation of children [1-3]. Despite the high prevalence, there have been few pediatric studies of the acute treatment of migraine headache. Anti-dopaminergic medications such as metoclopramide are often considered first line medications in the emergency room treatment of acute migraine [personal communication with Children's Hospital of Philadelphia Emergency Department physicians], but only two pediatric studies guide this clinical management. One was a retrospective, uncontrolled, descriptive study [4] and one was a prospective, double-blind study that compared an anti-dopaminergic medication to a different medication but did not include a control group [5]. More rigorous studies are needed to determine whether commonly utilized anti-dopaminergic medications are efficacious.