I have multiple health issues including celiac disease, and a heart arrthymia caused by cmv leading to chronic fatique syndrome. I have had migraines for years and take Maxalt. I can not take Imetrex due to the side effects. Last week I had my first hemeplegic migraine and spent 3 days in the hospital with all the test to rule out stroke, ect. I have had 3 episodes of the stroke symptoms this week with out fully getting rid of the migraine yet. They put me on predisone to break up this attack, topamax as a preventative and cont. the maxalt as the abortive since it usually works on my migraines. They also changed my heart medicine from tenormin to cardizem to see if the calcium blocker will work better then the beta blocker but my arrthymia has seemed to have gotten worse and I am short of breath. I am reading that the Maxalt is a triptapan and that is counter indicated for hemi migraines. What do people do for the abortive portion of the treatment plan? Any suggestions would be greatly appreciateated.