I am a fellow migraine sufferer. I was diagnosed with them in 1998ish, I think. It was horrible. I have taken everything from beta blockers, to calcium channel blockers, to anti depressants, to anti seziure meds- which is what I am on now for my preventatives. I think I have taken or had every abortive out there.
So right now I take 150 mg of Topamax, which is an antiseizure med and it works ok. I have to up my dose every so often because my body gets used to it. I still get my migraines about every 2-3 days or so.
As my abortives, notice I say abortives, I use a couple things at once. I use imitrex nasal along with fioricet and sometimes tylenol. If it's horrible, I will get a toradol injection along with imitrex.
I also get the ocular migraines about 4-5 times a year, where I can not see out of one of my eyes. It sucks! I thought I had a retinal detachament the first time it happened.
Along with all these meds, I take wellbutrin 300 mg and Effexor 37.5 mg, and both of those can help but those are for depression and generalized anxiety disorder. Nice huh??
It's soooo hard to find what my triggers are. It sucks. I keep a diary, I have cut out soda except when I first feel one coming on and I try chocolate or a soda to see if it will work. I stay hydrated, I exercise. But nothing will change. I try not to let it affect my job. I only have 7 years left but at times it gets harder because now I get them during/after exercise.
I wish everyone well. I haven't been MEB'd for them technically, although they were part of an MEB that went up for me. THat one was for my GAD and it included the migraines and I was returned to duty no limitations.