Unfortunately since Maxalt doesn't have a generic (one that I'm aware of anyway) I'm only allowed 12 tablets every 25 days. If I try to get it before the 25 day period is up it will cost me about $385!!! But it works. I finally got my doc to prescribe the 10mg and I can half them, that way I don't worry about using it up to quick, unless I'm having a migraine that lasts for several days. Thank goodness those are more infrequent than they used to be.
If I wasn't allergic to the Imitrex my insurance company probably wouldn't pay for the Maxalt either. I've also tried Relpax, Midrin, and several others. Since the Maxalt and Fioricet help, I'm not messing with it.
It just seems that menstrual hormones trigger a nasty migraine every month that can last from 2-5 days, depending on the severity and stress. I've tried to "ride out" some migraines but you're right...some times it's an epic fail.
Last year I had such a severe migraine that I went to the ER three times in a week. Two of the visits the doc tried to give me Morphine. I adamantly refused and he asked me why. I told him, "You're the doc; you went to med school. Morphine will back it down but it will give me a rebound headache that's worse than what it was". I even begged to be admitted for observation. My bp is normally 110/60, and both visits it was in the vicinity of 154/100 and 190/110.
The ER physician asked what would he be admitting me for since the ct came back normal. I told him that maybe they needed to watch me to make sure I didn't stroke out, for one.
My third visit in that same week....the doc did something I'd never heard of or experienced. He took Lidocaine and injected the area over my right eye and released a nerve that was contributing to the migraine. I actually got 18 hours of pain relief with no other med!!!
I was so excited about that.
Now, I just deal with it and suck it up and refuse to go to the ER unless I'm constantly vomiting and on the verge of syncope due to dehydration and pain. My motto is: someone, somewhere, always has it worse than I do. It certainly could always be worse. I'm just grateful for what I've got.