I had my first lot of Botox on 6 Jan 2014 after 43 years of migraines and headaches and just about every other treatment in the book. The only thing I've refused to try was Topirimate as the side effects sounded worse than the headaches I now get.
I was, I guess, addicted to Zomig (2.5 Rapimelt) as I have been taking up to around 21 a month ever since triptans were first prescribed to me, which must be over 20 years ago now.
Only one of the Botox jabs was rather painful and the treatment was over very quickly. I had migrainous feelings for two days after and took Zomig, but then mainly relied on aspirin, paracetamol or ibuprofen (not taken all at the same time!) I varied what I took to hopefully avoid triggering MOH from these OTC painkillers and never took more than 8 tablets in total in any one day.
The results from the Botox have been excellent in one respect, as I took just FOUR Zomig in January, despite having a permanent headache at the end of the month due to a heavy head cold! I was so pleased and actually quite proud of myself because I had never been able to summon up the courage to even try to go Cold Turkey before. There was always a good reason to take a Zomig as I knew it would almost invariably "cure" the head pain and let me get on with a relatively normal life.
I'm still getting headaches/incipient migraines quite frequently, and I'm sure the ones that are triggered by stress aren't helped by worrying about what I should do to control them. So far this month (it's Feb 15th) I've taken 2 doses of Zomig after nothing else shifted the pain (which then went a couple of hours after taking the Zomig), but should I be taking these at all? It was not made clear to me how I should handle any headaches I might get and yesterday I had one which felt like I was winding the clock back 30 odd years to The Time Before Triptans. I'm trying not to take more than one Zomig a week and the last one I had was last Tuesday when a similar retro headache occurred.
My GP is great, but I know more about migraine than she does and I have to wait a fortnight to get an appointment and I haven't seen my neurologist since he talked to me before I had my (useless) GON jabs both sides last February. I do feel a bit left in the lurch and this Forum is so supportive, I thought someone reading this might have some useful advice.
Still, two Zomig by halfway through a month is better than my usual 10!