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LiSaV,   I'm not sure what you want or expect us to say when the best answer IS "discuss this with your doctor," but you tell us to "refrain from" such answers.   The reality is that only a doctor who has reviewed your medical history, discussed your symptoms with you, and examined you in person can adequately and safely answer this question.   Yes! I certainly can relate to not having a local doctor who knows more about Migraines than I do. That's why I either drive eight hours to Philadelphia or fly to Dallas when I need to see a doctor about my Migraines.   I can absolutely empathize with you. At one point, I was in bed all day an average of five days a week with debilitating Migraines. I finally got angry enough to take charge of my health care and went to a Migraine specialist in Philadelphia. Now, I often go two to three MONTHS between Migraines. If you want to read more about my own battle against Migraine disease, take a look at Excerpt 2 - "Living Well With Migraine Disease and Headaches".   So, the best suggestion I can give you is the final one that Nancy gave you — find a Migraine specialist to help you with managing your Migraines and restoring the quality of life you deserve.   Good luck, Teri