, thank you for reaching out! I apologize that your question has gone unanswered. We cannot offer medical advice over the internet (for your safety!), but we always recommend following the advice of your doctor. Did you ask your neurologist to explain the reasoning behind wanting you to have the MRI and EEG before prescribing medication? It may feel unnecessary, but it is possible the tests will give your neurologist information to help make the best choices for treatment. The other thing to be cautious about in seeking out a provider for medication is that unfortunately (as you may already know) those with migraine are often seen in the medical profession as drug-seeking because of how poorly migraine is understood. Migraine attacks can at times mimic drug user withdrawal symptoms, leading to poor treatment, particularly in an ER setting. I would hate for you to struggle even more to get the help you need because doctors are seeing you refused tests, are pushing for medications, and misinterpret your symptoms as a result. It may or may not be an issue, but unfortunately, it could. I would encourage you to start by having a conversation with your neurologist so you can both better understand each other's concerns and reasoning. Then you can decide on how best to proceed. Please keep us posted on how you are managing and what the next steps become for you! Wishing you a gentle day. ~Allyson (Migraine.com team)