Nasal lidocaine spray EARLY EARLY EARLY kicks 99% of my migraines. Get Rx for compounded spray from ur doc not OTC. Also compounded rx co-q10 and ribomag work WONDERS in prevention. Don’t waste $$ on non-rx supplements. They are not fda controlled since they are supplements so the stuff in ur local health food-GNC-Vitamin Shoppe many contain little to none of the co-q10 and costs 3x+ more for less potent formulation. Also giving up ALL other OTC NSAIDS like ibuprofen and etc will help u break the rebound headache cycle. Oxygen greatly helped me. GOOD news all are narcotic free so no rebound habituation risk.

Maxalt and triptans worked very well for me until I developed triptan sensitivity tho not too common usually a good doc will give u a dose if u go with a beginning migraine (I know the devil's in timing). I had trouble breathing. I used maxalt with great results for years though. Maxalt in particular the sub-lingual bypasses ur stomach and goes right to the source. Our stomach sometimes shuts down during a migraine so a pill might never be processed in time.

The lidocaine, co-q10, and ribomag (last two daily preventative) are about $60 w/o insurance at the mail-in pharmacy I use. Some of the triptans are $1500+ w/o insurance so that might matter to you.

The biggest key is taking it EARLY if u hoard meds b/c u think it MIGHT not be a migraine ur waiting too late for these types of meds to work. Best advice I ever got was if YOU think it might be one it is. Take a full-prescribed dose IMMEDIATELY. No fitzing with half doses or waiting or doing NSAIDS.

I've been through daily migraines-3x/week-menstrual & other cycles of repetition. This regimen broke all of that. Also there are many free podcasts for guided meditation for pain and relaxation that done daily are a HUGE help. My favs are meditation oasis, the chopra center for well-being, Emmitt Miller MD, & the meditation podcast by Jesse & Jeane Stern. U don’t have to go thru iTunes they all have their own sites but it’s easier for me since I have iPods. I like the guided ones b/c the stress voices of pain in my head are better silenced if someone walks me thru.

Also Inderal ER 80 mg has fewer side effects than topomax and works for many friends with MH's. I could never tell for me.

Forgive the syntax—slow typing today.
Best of luck.