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Searching,   -:¦:-•:*'""*:•.-:¦:-•*Welcome to MyMigraineConnection!*•-:¦:-•:*'""*:•.-:¦:-   I'm a bit confused by your saying you've had "transformed or rebound Migraines." When medication overuse is an issue, the resulting medication overuse headache (aka rebound) is a headache, not a Migraine. Transformed Migraine occurs when episodic Migraine "transforms" to daily headache superimposed with episodic Migraines on top of the daily headache. Medication overuse is one possible factor in episodic Migraine moving to transformed Migraine. You can read more about this in Transformed Migraine - The Basics.   With some medications such as opioids and barbiturates, medications may be prescribed to help get through breaking the medication overuse cycle because it can cause other physical problems if those medications are abruptly withdrawn.   Since withdrawing triptans cause no such problems usually no medications are prescribed to break a medication overuse cycle from triptans. In your case, the Ambien and phenergan are, as you know, intended to help control the nausea and help you sleep through the pain.   There are other medications that can be used in the same way as the phenergan and Ambien, but none that are specifically recommended for this purpose. Everyone responds to differently to medications that the best thing you can do at this point is to call your doctor, update him on your situation, and ask for his assistance.   It's unfortunate that whomever has been prescribing Imitrex for you didn't instruct you to limit it's use so you could have avoided this situation. I'm so sorry that this is happening to you. I do know it's tempting to just keep taking the Imitrex rather than working to break this cycle, but that would only sentence you to daily pain.   So, the very best thing to do at this point is go back to your doctor and ask for more assistance. If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. 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.   If you'd like to talk with other Migraineurs and get some additional information and support, come join 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.   Please keep me possted on how you're doing?   Welcome again!Teri
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