With COMPLEX MIGRAINES this eliminates treatment with tryptan class meds of course..
You need to be on a daily regimen to PREVENT your migraines and at times a combination may be more effective than a single agent in my experience,,,
Topamax or Elavil or Inderal are some preventive meds..
You need to have nausea medicine on hand such as Phenergan or Zofran (OTC Dramamine or Benedryl may help)
A rescue pain medicine may be needed but doctors are cautious not to over-precribe these such as Stadol ( a nasal spray which may be helpful if you are nauseated too)
I hope that this information is helpful for you.
Let me know if you have further questions...
I will be happy to get back with you.
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Thank you and Best Regards,
Anthony Bray MD