Kate
Two suggestions for the migraines. Because of were the headaches are.

I would see if you can find a good massage therapist. I know that mine has helped my headaches a lot. Also it helps the other aches and pains of my body. I have fibromyalgia and at times its really bad. I have stiffness and tightness in almost all my muscles. So she works very hard to help try and
keep it down to a minimum.

Next to step down to another drug, ask if you could also have imitrex.
Its the sister drug to what you are taking. Just not exactly the same thing.
Its also what I take, it works really good.

Donna