I've actually never heard of amytriptaline! It's fully possible I've tried it though, I tried alot of different preventative pills. I've just found that those pills do nothing for me. Aimovig is a once a month at home injection (like an epipen) so it's a little more intense, but it works and I would honestly poke myself everyday if I had to over a migraine

Are you on amytriptaline or anything else with the amovig? Got a prescription for amytriptaline but nervous to try it.

I take Aimovig for chronic migraine. It helps lower how many migraines I get per month! I went from every other day to 2-4 per month. It definitely helps from a pain standpoint. I've been using Aimovig for 4 years now with no side effects! I was in the same position and Aimovig truly saved my life

Hi Meagan, I'm so sorry that you are going through this. I agree with Eve and Ed. I was on 150mg of Botox, every 3 months, for a long time, until the CGRP inhibitors became available. I worked on that drug program for a few years and am so happy it is finally available to patients. My neurologist has discontinued the Botox therapy and I give myself an injection of Ajovy each month (there are multiple modalities and they should be explored with your neurologist to determine which therapy works best for you). Don't expect an overnight fix, it takes time to build up to therapeutic levels before you start to notice a change in your migraines.

Please forgive me if you have already explored this, but I was diagnosed with chronic migraines over 40 years ago and a lot has changed over the decades. There is a long list of known migraine triggers. If you haven't already, I would start there (a simple Google search will bring this information up). Go through the list and notate any item that triggers a migraine and then discuss your findings with your neurologist. Also, keeping a migraine journal can be beneficial to your treatment plan. Sometimes we don't associate something to our migraines until we see a pattern develop. You could be consuming something and have no idea that there is a direct correlation.

Not knowing how old you are, you might want to discuss a blood test for female hormones, as hormone levels in women have been linked to migraines.

Another option you may want to discuss with your neurologist is supplements. There are substances available over the counter that have been known to help curb, or lessen migraines.

I understand how frustrating it can be when all you feel is pain and you just want it to stop. There is hope, so please don't give up. It will likely take time before you and your neurologist find the right combination for you. Everyone is different. What works for me may not work for you.

One other suggestion, if your neurologist doesn't discuss this with you, it is very important that you add or subtract one therapy at a time. If the doctor gives you 3 new medications to start off with, how will you know what is working and what is not.

Try to hang in there, it will get better. Another remedy for me is ice packs. If I get overheated in any way, a migraine quickly on its way. I use back-size, gel ice packs and wrap them in a towel. If I don't go to sleep with an ice pack, I'm sure to wake up with a migraine (I'm one of those "hot" sleepers, always have been).

Good luck to you. I wish you much success and pray that you find relief soon 🫶

Hi there these are all suggestions because I found no one has your answer. I would find a doctor who is a migraine specialist and I found if you can a woman more compassionate. There was no magic pill only things that help 10 % for this 20% for that but it adds up to make life livable with migraines. I am telling you what works for me your different. Botox, 50- 100 mg. Tramadol exercise if you can , Cefaly, meditation, watch your diet,keep stress down. I have tried over 50 drugs over my 25 years with migraines and combinations of drugs nothing worked. Read all the things that people have tried and fine what may help for you. Don’t give up my life did change I was a driven successful entrepreneur but now take life a day at a time I am a much nicer person Good Luck Ed