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Try Maxalt. You'll need a prescription, but Western medicine kicks ass, and this is a fabulous drug that saves many days of misery.

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I've tried all the triptans. None of them work. Neither do muscle relaxants, blood pressure medicine or anti-convulsants (at least not Topamax; it made things worse).

Only things that help are narcotic pain-killers and Migranal (aka DHE). And they only reduce the pain, not break the migraine. Alcohol helps a bit when I'm drinking it, but then there's the hangover to pay (on top of the migraine which has come back by then... >:( )

Seriously. My neurologist has given up on me. I've got an appointment at the Mayo Clinic, but until then, I'm on my fucking own.

Potential treatments you didn't list in order of decreasing plausibility: amitriptyline, nortriptyline, magnesium (OTC), coenzyme Q-10 (OTC), zonisamide, ACE inhibitors, ARBs, pregabalin, feverfew (OTC), bupropion, verapamil, valproate, memantine. Many of these are bread-and-butter drugs for internists, GPs, and family doctors -- no neurologist needed.

For doctors, a headache specialist at an teaching hospital can be a good choice. They tend to be knowledgeable and persistent.

Thanks.

Good luck, spydez. I hope you beat this. My wife gets migraines and her discomfort is unimaginable for the rest of us.

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