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Hi Zombie,   Here's the thing, a Migraine specialist knows what to offer you because they are experts in one area - ours - Migraines and headaches. It's important to note that neurologists aren't necessarily Migraine and headache specialists. 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.   It can take up to three months when we start new medications to see a reduction in our Migraine frequency and severity. So, let's say we start our new drug and after four weeks we haven't seen an improvement in our Migraines. Stopping the drug after this short period isn't really giving it a fair trial. If we keep changing medications every four to six weeks, besides never finding a medication that will work, just makes the process frustrating for us and the doctor. Does that make sense?   Having said that, I totally understand how you feel and where you are coming from because I have "tried it all" and "taken everything out there for Migraines" too. At one point I was switching medications way too often. I no longer see that doctor.  So even though you think you have "tried everything" it really isn't possible....it might just be that third calcium channel blocker you have to try, or just the right combination the Migraine specialist can come up with.   Either way, don't lose hope, there are answers. Nancy