Yes, after years of trying medications with my GP, I went to a local neurologist for two years and tried more medications until he ran out of ideas. He sent me to a neurologist at a teaching hospital in a nearby city. I haven't had much luck. I feel like I haven't found the right doctor. Neither one were very communicative. I've learned m ore about migraine from the internet and fellow migrainuers. Thanks for your response. I know it's a lot of trial and error. I'm just running out of steam.

I tried two rounds of botox with no improvement so I didn't go back for a third. Does it take more than two rounds before there is some improvement? My doctor, at the time, didn't encourage me to try another round so I assumed that was it. I wonder if I should try again?

Adding gabapentin (Neurontin) to my meds (beta blocker & tricylic a/d) has made a world of difference. There is some weight gain but I don't mind the trade-off with less intense pain and throbbing. Did have Excedrin in there also but had to stop due to stomach issues.

Was able to get rid of my 7 1/2 month migraine by seeing a doctor who found the issues causing the migraine - problems in my sinuses. I had a surgery he has perfected over the years which finally ended the months and months of severe agony. Trust me I tried EVERYTHING in the book to get rid of the pain. This doctor's name is Dr. Kevin Smith. He's located in Houston, TX. Seeing him and having the surgery is the best thing I have ever done in regards to my migraines.

You name it over the past almost 3 years, I’ve tried many preventative & failed for one reason or another. Topaxmax - Swiss cheese brain, depakote - stomach pain, propranolol - lack of energy to point my boss talked to me about my performance. There are others, I forget.
What worked - Botox and now Aimovig with propranolol as needed when we go out into places with lots of commotion, and if I have a tinge of a headache, I do a dose of timodol eye drops and dexamethasone or advil depending on the degree of the headache. The last combo was trial & error on my part to get what works. Timodol eye drops do work when I have a mild migraine, it is amazing, there was a write in a medical journal, that’s where my neurologist got the idea to try it.
Botox is covered by my insurance 100% - yippee, Aimovig not covered. I used the 2 free doses to get hooked and now use the bridge program to get the med for $0 for up to 1 year while the insurance company decides. This has tremendously cut my headache days and chopped the “tops” of the migraines that I do get. Maybe once a month I get a knock down migraine requiring the full combo of dexamethasone, timodol, and Maxalt.