“out of options???”

Hello, my name is Melody. I have been a chronic migraine sufferer since the age of 5. I am now 33. Five years ago I was diagnosed with Intractable Atypical Headache. So, it is not really considered to be a migraine. My MRI is normal. This is going to be LONG, but, I would like to tell you all of the meds I’ve tried with NO success. Maybe someone out there will notice if there is something missing from my list, as my Neurologist told me I am “out of options.” She is ready to put me on pain medication. Is that what I need? I’m not currently suffering from rebounds, as I have not taken any medication in 6 months. here is my list, bare with me:
1. Amerge (naratriptan) 2. Maxalt 3. Imitrex (nasal and oral) 4. DHE (nasal,oral,IV,suppository) 5. Zomig 6. Depakote 7. Neurontin (gabapentin) 8. Topamax 9. Zonisamide 10. Mysoline 11. Paxil 12. Effexor 13. Elavil 14. Remeron (mirtazapine) 15. Imipramine 16. Doxepin 17. Seroquel 18. Vistaril 19. Buspar 20. Lexapro 21. Cymbalta 22. Tenex 23. Clonidine 24. Propranolol 25. Verapamil 26. Axert 27. Feuroset 28. Tramadol 29. Toradol 30. Diclofenac 31. Naproxen 32. Ibuprofen 33. Excedrine 34. Magnesium 35. Celebrex 36. Acupuncture 37. Chiropractor 38. TENS macine 39. Calcium channel blockers 40. Bio feedback. have tried all beta blockers, tricyclics, triptans, and CCB. oh, and muscle relaxers.
SO, WHAT ELSE IS THERE?? this has been going on for 28 years. Should I try the pain medicine? Will the doctor even give it to me?

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