Headaches Lasting 4 Weeks

do you know whether it's hormonal? Sometimes birth control pills can help keep your hormones balanced, if you can find the right one for you - that can eliminate a lot of migraines. I know for some people this isn't an option. I hit a point where I was trying everything and still struggling, since I struggle with depression, I was open to an antidepressant. For me, pristiq eliminated my migraines almost entirely. I also did well on ponstel, which is an NSAID, but unfortunately I have IBD and I can't take NSAIDs. I would 100% take the antidepressant again, but it also had some side effects. Some positive impact too, for me anyway, I was much less bothered by negative thoughts. I think a good headache specialist is helpful. A month wait is a long time... None of the tripthans were a slam dunk for me sadly. Zomig was better than maxalt but everyone is individual.

I had headaches like you described, lasting weeks, for years. I had a lot of underlying heath issues, after years of being told I "just" had migraines or "just" had anxiety. Obviously migraines and anxiety are plenty serious, but I did not respond to remedies or meds for either, and there were pieces of the puzzle missing. I hope that your doctor is helpful, but a headache specialist or an integrative medicine specialist might be a better fit than a PCP, to help you get to the bottom of this. Keep in mind that "migraine" isn't so much a diagnosis as a description of a symptom; people get migraines for lots of different reasons, and many specialists believe there are a lot of separate conditions lumped together. For me, diet helps (no sugar, no caffeine, no alcohol, lots of water, probiotics), supplements help (B2 and magnesium help a lot!), extra support when a weather front is moving in and the barometric pressure is dropping especially in winter, essential oils of peppermint and frankincense on my temples and neck, acupuncture, craniosacral therapy, yoga, and guided visualizations exercises. (Try the guided visualization podcast for headaches on the Kaiser Permanente website.) Curable is a good app for chronic pain that helps a lot of people overcome chronic migraines and other types of pain. Looking into your hormone levels (thyroid, adrenal, testosterone, progesterone, estrogen) might be informative, but I wouldn't add hormonal contraceptive meds to the mix unless you have good reason to. SSRIs do help some people, but they definitely made me worse, and can be complicated. Try L-theanine, a natural amino acid, if you think anxiety could be contributing. Some people do very well with the herbs feverfew or butterbur, and the adaptogenic herbs (I love ashwaganda) can be helpful. Definitely see some knowledgeable practitioners before doing too many chemistry experiments.

Good luck! Sending comforting vibes your way.
Sara (Lyme, ME, HPA axis dysfunction, fibro, POTS....)