Hi Lolafraola
Sorry to hear about your migraines.
I only started to get these for the first time during late peri-menopause just before my period - so I think due either to progesterone withdrawal or the oestrogen crashes. I didn;t know they were migraines until many years later ( something like 15 years!) as I had never had them before and just thought they were horrible persistent headaches ( ie 3 days). Fortunately the headache part was not that bad - just sharp and needling and going around different parts of my head - but the other symptoms - fatigue (utter exhaustion), light and sound sensitivity, and some nausea (again only mild) would get me down - it was just that they just wouldn't go for 3 days and wake me in the night es the painkillers wore off.
Relatively recently (maybe a year or 18 months ago?) I went to the doc and got sumatriptan which some had recommended - never hadbeen suggested before even though I had been to the doc with them!! Fortunately these work for me although i think it can make the migraine last a day longer after the withdrawal (from the triptans).
I'm sorry to hear they don;t work for you because I do regard them as magic pills!
Really have no other suggestions but maybe long term migraine sufferers may be able to offer some ideas? Yours sound absolutely horrendous - so I hope your new regime works for you. The lack of patches is appalling so really sympathise about that.
Hurdity x