Hello,   The best suggestion I can offer is to be sure your doctor has some experience with treating hemiplegic Migraines (HM).   If you need preventive treatment, there are many, many options. One of the most documented to be helpful with hemiplegic Migraines is verapamil. Abortive treatment, which stops the Migrainous process in the brain once a Migraine attack begins, is tricker with hemiplegic Migraines than most other forms of Migraine. Triptans such as Imitrex and Maxalt and ergotamine medications such as Migranal and DHE are generally not prescribed for HM. For abortives, that leaves only Midrin. You can read more about Midrin HERE.   If your doctor hasn't much experience with HM or is having problems finding effective treatment for you, consider seeing a Migraine speciaist. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.   If you'd like to have an opportunity to talk with others with hemiplegic Migraine, consider joining our discussion forum. You'll need to register again once there because it's a separate membership database, but you can use the same member name, email address, and password that you used here. You can find our forum at http://forums.healthcentral.com/discussion/migraine/forums.   Hope this helps, Teri