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.