I have been living with migraines since a near-fatal car crash 46 years ago. My migraines have definitely been evolving over time. I recently ended up in ER because I was having terrible pain, nausea, etc. I didn't recognize it as a migraine because it didn't act like my migraines have in the past. I have tried just about every treatment in the world for them, but finally found relief with an herbal supplement. I have been taking that for about 20 years, and have never, ever had any side effects from them. I order them online and the Chinese name is Pian Tou Tong Wan; the main ingredient is angelica. They're hella cheap, easy to use, and I always carry some with me just in case.