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Know the difference
I used to think all migraines were the same. That is until I found a decent doctor who explained things to me. No all intense pain is a migraine. Some are cluster headaches, or respond headaches (side effects of medication or other stimuli).

I have suffered from migraines my whole life. I took Imitrex, Esgic Plus, Amytriptaline, and lord knows how many others. The best thing that worked for me was Topamax. It is an anticonvulsive and took my pain away. I still am on it years later, but the migraines have gone away almost completely.

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