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Hi Teri, Thanks for your reply.    This neurologist I was seeing was new for me. I started seeing him in Jan 2008 before the Treximet was released.  My previous doctor had made a medical mistake that ended with me having my left arm surgically reconstructed, so I was left scrambling for a new migraine doc.  This new neuro I started seeing is the guy that was pushing the Naproxen really hard and absolutely refused to allow any more than 8 Zomig a month when I had been getting 12-18 Zomig for years from the previous doc. As a nurse on the floor, the Zomig and tons of Advil was really all that I could take besides the preventive Topamax I was on.    This new neuro was just adament about me using NS and literally told me to stop having so many headaches as if it were something I could control.  I clearly know what rebounds are and how to avoid them, but he seemed to think my advil ingestion was perpetuating the cycle.  I was trying to figure out why he was so stuck on this NS until a few months later when I saw an ad for Treximet while flipping through a magazine and the light bulb went off in my head that maybe the drug reps were pushing this idea to sell more treximet.    I did in fact have a preventitive in place, Topamax 100mg daily, but was still having frequent and debilitating Migraines.    Long story short, I ended up leaving that neuro and found a new Neuro who introduced me to Elavil and THAT is what has truly knocked the migraines back to almost nothing.  To this day, I have never taken the Naproxen.  To me it is tantamount to using a toothbrush to paint your whole house.... takes way too long to get the job done and does a very poor job at that!    I do have to say that since going on the Elavil, I no longer wake up anticipating a HA and I no longer find myself making sure I have an imitrex in my purse everytime I leave the house.  It has been very liberating.  Such an easy solution and I am much happier for it.  Thanks for the links and info!   Anjann