Meds not working, pain 10/10, advice please

Haven't posted on this board ever, so hi I guess; anyway here it is: I've been having migraines probably since childhood, some years are good and some, well, not so good. First med prescribed by neurologist was sumatriptan which didn't work that great, a few months later was given rizatriptan which worked reasonably well. Yesterday/today, I had one of the worst migraines I've ever had. What I did at onset, of course, was take two rizatriptan and wait it out in a quiet space. From there my headache just intensified and blossomed into the most incredibly painful migraine I think I've ever had; was nauseas, sensitive to the slightest bit of light, and all clammy. Just awful. As a last resort I took two percocets which didn't do much either. I was in so much pain, I honestly wasn't really aware of the time and I think I passed out at one point.

Should I move on to the next triptan? Start w/ preventative meds? Should I be concerned about something else going on?

Hi and welcome
If your migraines have been getting worse u may want to see your neurologist and try preventative meds. I am on Nortriptyline ( also fo Fibromyalgia) and nadodol (sp?) overall they had been working. When I had a break through migraine I would take something called Cambia. It is a powder u mix w water. It is magical. With in 20 it takes the pain down to a very tolerable level and I am no longer nauseous. It is wonderful!

I actually just had a bought of migraines and passed out on the kitchen floor. In the last 3 weeks I've been in the hospital twice for 4-5 days and many trips to the ER. Bottom line everything in my brain is good. No brain bleeds or tumors. They are just calling them complex migraines. I even lost my speech for a short period of time. They can be scary and extremely painful.

Sorry this was so long! If u have a neurologist I would see them and talk about a different breakthrough medication and preventative.

Best of luck and feel better!

Do you take other meds with the triptans? I always take tylenol and/or advil when I take the first Maxalt. I usually need to take at least two Maxalts to get rid of a migraine, but it can easily take a full day for it to fade. My neuro said I should also take caffeine with the meds (she said a coke but I don't drink soda).