I am 26 and have suffered from what I have always thought to be sinus headaches since I was 18. I assumed it was sinus because the pain is almost always behind my right eye. Over the years i've taken every form of otc sinus meds and finally saw an ent specialist 1.5 years ago. She recommended a septoplasty to correct my deviated septum. I thought that would be the answer to my prayers and after a very painful surgery and recovery (it's just like a nosejob) and then a follow up surgery to cauterize a vein, I thought I would finally find relief. Nope. It did nothing. I now have a perfectly straight nose and can breathe better through my left nostril, but the headaches still persist.
Anyhow, in all my years of agony, no doc ever suggested that it may be a migraine. A few weeks ago, I got what I define as a "whopper"... One of those sinus headaches so painful that it's positively debillitating. When I get these, all I can do is take a couple otc sinus pills and hit the bed, hoping to sleep it off. Well, I took sinus meds and it had no perceptible affect. The next day the pain was equally as severe so I gave up and took an imitrex that my sister had given me. I'd only taken imitrex once before and it knocked me out so I vowed not to take another one unless I absolutely had to. In this case, I split the 50 mg pill in half. Surprisingly, it made me a tad drowsy but didn't knock me out and it actually rid of the headache!!
Sooooo, to make this very long story short, my question is this. Can imitrex really be a permanent solution for me? Anyone have any experience with this? I guess my concern, aside from side effects, is that I hate being medicated and avoid drugs, especially prescription. I suffer from these headaches on a weekly basis, sometimes for several days at a time. So can I end up taking an imitrex once or twice weekly?
My last question is how in the world can you differentiate between sinus and migraine headaches? And can imitrex alleviate those headaches that actually are sinus?
I really appreciate any help or insight anyone may have!