I have had migraines all my life. Tried everything.
I had some sessions last year at the Migraine Clinic at my local hospital, and I was very lucky as one of the top migraine docs is there.
I had to do a 'wash out' which is stopping everything for around three months. This was terrible and I had 3/4 day migraines for about three weeks. This was combined with neck physio, and acupuncture.
I was on 75 mg amytriptyline at the start, which is horrible as it zombifies me until lunch time, and dries up your mouth. The amitriptyline continued though the wash out period , and the migraines gradually reduced.
What I learnt is that the most important thing is to eat every four hours. Never go longer than 12 hours at night without food. Drink gallons of water.
Migraine is a neurological disease that involves gastric stasis and parts of the brain that control vomiting. Domperidone is a good drug for nausea control, but I have found that if I just keep eating every four hours and keep drinking lots and lots of water, I can eat and drink my migraine away.
I am now down to 25 mg of amytriptyline each night at 7 pm. This means that I can now function in the mornings.
You have to think a bit like a diabetic and control your blood sugar levels. Obviously be careful of your food and other triggers, and realise that you have one of the top twenty disabling conditions in the world.
For migraines now that do come through all the eating and drinking, I take naproxen and nasal sumatriptin. There are now many different drugs regimes available to help you. GPs don't know about them, you have to go to a centre of excellence to find all this out.
I have had these dreadful time-stealing migraines for 50 years - finally I feel that I can control them and they don't control me any more.
www.migrainetrust.org/
www.migraine.org.uk/