Hi there, I was prescribed 200 mg of Topamax (100 mg in the morning and 100 mg in the evening), in hope that I would not require as many Imitrex. I take Advil when the migraines are not as severe. I would think Advil would not help migraines with aura or am I wrong? Sometimes I feel it does not help at all. So there is no point in taking too many Advil if it does not help with aura or with pain as this is the type of migraines I usually have. Since the fall I have had more than my share as weather is a trigger. I try to lay down in the evening but then I feel as if I am getting nothing accomplished. I feel like it is a no win situation. Take Advil and deal with the aura and some pain and still feel lousy, or take Imitrex get some or total relief but then end up taking too many of them.
Other preventative medation has not worked and so far Topamax has been the best (hope I am spelling it right).
Any sugguestions?
Thanks.


Advil is a nonsteroidal anti-inflammatory drug, used to treat pain. Imitrex is a triptan which aborts a Migraine attack. If you take too much of either, more than 2-3 times during the week you can create a new problem called Medication Overuse Headache. Medication Overuse Headache - When the Remedy Backfires
If you are in MOH, no preventive will work. You need to stop the offending medication cold turkey.
Nancy:
Yes, this is the reason why I am on Topamax. The weather is brutal these days here in Canada and I try to tell myself that today it will be better. I do not take the Imitrex more than once a week or the Advil more than twice or three times a week so I do not think there is a problem there. I do, however, find that I am suffering through the pain and laying in a dark room and dealing with the aura and depression for this very reason.
Last week my head jerked and my right leg jerked up from the coach right after and it was a little scary and, of course, the pain was in my right side of my head so I sometimes wonder if I wait too long to take the Imitrex. Should I take the Imitrex as soon as the aura starts and forget about the Advil when it appers to be a Migraine. Advil does work at times but how do I know how bad the Migraine is going to be at the beginning? It seems because my doctors have warned me about taking too many Imitrex that I am more concerned about this at times then I am about treating my migraines.