I've had migraines since I hit puberty. So does my Mom. Immitrex 100 mg is my rescue med and works great if I take it at the first signs of a migraine, which occur often. I go through at least 12 a month. I resisted for years after reading the side effects to try preventatives, but my doctor finally talked me into trying preventatives.
Tried propranolol first. It did nothing but lower my heart rate to a scary low level, even after multiple increased dosage levels.
Now I'm wrapping up month 2 of Topamax at 100 mg per day. Judging by how much Immitrex I'm taking, I'd say it's helping. This month I've only gone through 5 pills. But while the side effects are bearable, I don't feel like me. My emotional range seems dampened. There's other side effects too, but like I said bearable.
But is that seriously the trade off? You either get to be in near constant pain - or lose part of yourself? My doctor is applauding the Topamax because I haven't taken as much Immitrex. At least with Immitrex and the pain I know who I am. I'm almost thinking the preventative isn't worth it. Or do these side effects ease with time? Because I will admit, waking up pain free is REALLY nice!