I wish none of us had to go through this which is why I'm also hopeful about the anti-CGRP drugs! My new neurologist thinks part of my problem might be from occipital neuralgia, so I'm going down the nerve block route. The first block cut back my medication use by half and the 2nd gave me 4 days with no pain and no meds. It's made me hopeful, but right now they're back with a vengeance.

Btw, I just read your story and I'm perimenopausal too & my migraines are just out of control now. There's no way I can work at the moment, which I feel super guilty about and I'm trying to adjust to a different kind of life. Thinking about writing & I do a bit of volunteer work at my church when I'm feeling ok...but I have to avoid perfume like the plague, so unfortunately I am constantly afraid whenever I go out. Once a migraine starts it can last for days. Super glad the nerve blocks helped u before & happy to meet u!

There is an anti-CGRP med available this year: Qulipta. I have United Healthcare Medicare Advantage & it's not on the drug formulary. So I have to get a prior authorization. The pharmacist said that all insurance companies she knows about are requiring prior auths.

I'll definitely give it a try! Thanks for the suggestion!!

I have found and Alternative solution that has been a miracle for me. When I feel a migraine coming on I lay down close my eyes and listen to binaural beats.
https://www.youtube.com/watch?v=s4JafbX3WQg&amp......
Using headphones and I really focus on the sounds. it puts me into a sort of trance and when I am done the pain is so much less and often does not develop into a migraine.
I was skeptical at first but willing to try anything... it is also great as you can do it anywhere, I have even hidden at work and done it to help relieve the pain.