I am new here but I just wanted to tell you that when I feel a migraine coming on, my neurologist has prescribed Relpax, 1/2 prenisone tablet and 1 Dilaudid. He has me taking that regimen when I know that the weather is going to change (the low and high pressure systems) even if I don't have a headache yet. So far, that regimen is working well. I am not sure what the steroid does but I do know that I have tried only taking the Relpax and don't have results that are as good. I voiced my concern about
taking steroids and he assured me that steroids in that small of a dose and only occassionally are safe. I have no side effects except that the Relpax does make me sleepy for a couple of hours. This regimen has kept me out of the ER for several weeks now (which is when I started it) so I am keeping my fingers crossed.
Good luck to you. By the way, the neurologist also has prescribed 4% Lidocaine nasal spray for when I have a bad migraine - haven't had to try it yet. He says it will work great or not at all - for some people, it works - others, it doesn't.
My daily meds for migraines are Verapamil and Trileptal. I also take Lortab 10/500 if needed but since he prescribed the Dilaudid po, I haven't needed the Lortab. Also, it usually only takes 1 Dilaudid to do the trick.