I began having migraines at 16. I am now 44. Over the past ten years, they have increased in severity and length. I am now considered "chronic." For 16 years my doctor and I have been trying preventative and abortive meds. No preventatives have worked. I've done the food diaries, etc. and know my triggers. I simply can't avoid most of them (i.e. stress, barametric pressure, elevation changes). I take Relpax when I can which seems to delay the migraine for a couple of days. Then they are intolerable. I don't have auras, but I do have the nausea, vomiting, light/noise/movement sensitivites. I understand preventatives/abortives are the priorities. However, that doesn't matter to my head when I awake with a full blown migraine, which is normally what happens. A new neurologist refuses to prescribe narcotics and told me to lie in a dark, quiet room with a rag on my face. I have moved and my new doctor has relunctantly prescribed Tramadol (I took Fioricet with Codeine for at least 10 years), which doesn't touch it. What I need is specific information on rescue medication. Please don't talk to me about prevention/abortive as I am already, and have been for years, looking for that. Additionally, I have depression and panic attacks. Between the 3, I am rarely able to leave my home and my family's suffering is wearing thin. I truly don't know how much longer I can go on if I can't get effective rescue medication while I go through months of trying the preventatives/abortives.