Hi Hurdity
I don't use any form of triptan these days (tried many types of triptan, tablet and nasal spray over the years) as if I don't take it exactly at the right time, at the start of the vile neck pain and knots, it doesn't work and just makes me feel drowsy, faint, very dehydrated and all-round ghastly on top of the migraine - plus makes night sweats worse. If I do happen to take it at the right time, I can often get rebound, the migraine can recur - it's as if it has to have the last word! - or it will start up on the left side (mine are always right sided). Also have read that they're contra-indicated when post-menopausal - as you know triptans constrict the dilated blood vessels in the brain and in other parts of the body too, ie. heart. I get really bad palpitations during a migraine and have a history of heart disease in the family, low BP and dizzy spells so those factors were another decider in not taking the triptan.
Just recovering from a hideous, vile 3 day migraine that was not progesterone (Utrogestan) so can't blame that, just hormonal imbalance, low oestrogen, who the hell knows. One Neurologist told me to take high dose dispersible aspirin - and that is my go-to med - Alka Seltzer as the effervescence helps absorption. If I'm particularly nauseous and can't keep anything down, then I'll use rectal Paracetamol (on prescription from GP), they're not very effective but better than nothing. Daily (Solgar) Magnesium Citrate and B2 (Riboflavin) seems to help a tad in prevention.
I never stop reading about migraine (migraine.com is a good site) as in my experience it is an absolute disability that scares the life out of me, is life changing and life restricting. I've had neck X-rays, the result of which was: 'general wear and tear' - not very helpful.
Sorry, hope this is not too gloomy. It's a rotten condition to have to cope with Hurdity, you have my sympathies. can't really type properly at the monet as just in recovery from 3-day monster mig.
J x