Thanks, Nancy. That thorazine link was very helpful to read.
I do take daily preventives. Currently they are Topamax, Sinequan(this one at night only), Skelaxin, and Propranolol (this one also for high blood pressure besides migraine prevention). The neurologist has been fiddling with this mix over the last year or so, trying to find something that will work better.
Botox helped for 3 years or so and then became ineffective. I had facet blocks last summer and they made me temporarily worse instead of better. Cervical epidurals were not very effective. Am considering a regular nerve block now but am undecided. Have also done tons of physical therapy which has helped some but seems to have plateaued.
I've identified some common triggers (lack of sleep, not drinking enough water, being late for a meal, and a few specific food triggers that I now avoid) and that has helped, but weather is my biggest trigger and I don't seem to be able to control that! ( : Stress is another factor and I find meditation has helped with that - both daily and during an attack if I can.
I have an appt. with my family dr. soon and I think I will discuss the thorazine with him. While not a headache specialist, he was a pharmacist before he became an M.D., so he is very knowledgeable on meds.