I get transformed migraines; mild, moderate, acute... With a variety of symptoms. Nausea, numbness in face, hands, arm, tingling in face and hands, aura, hearing loss or buzzing, a lot of light sensativity... And so forth. Some are more common than others and certainly they don't all accompany each migraine. I get roughly about a week to a week and half of migraines a month. I am on topamax 100mg, inderal 160mg, zopaclone 7.5 mg (for migraines due to lack of sleep), and a water pill for 7 days out of the month. Imitrex shots are my abortive.

I have now had 15 days straight of migraines which in-itself is not entirely uncommon. But they were very acute, very much motion induced pain to the extreme and did not respond to my imitrex at all. I was unable to see my doctor and a substitute doctor gave me codeine which was utterly useless in this state and not sure why he thought a pain killer would be any use at all. I went to the er and they gave me toradol, which was very slow to work, did not entirely do the trick, and the migraine came back full strength again. What concerns me is the added symptom of muscle twitches that began to occur and occured for the duration, mostly in the neck and my arm, which was unpleasant since I was trying to keep my head as still as possible and it kept twitching. My second inevitable er visit was somewhat more successful, not sure what they gave me but they at least hydrated me and gave me some sort of abortive, I believe an ergotamine... Made me ill to the stomach, but killed the migraine for a day and half. Still came back strong in the evening after. But since then it has been mostly mild to moderate.

I am wondering why these would have been so severe in nature and why my abortive, which was entirely effective would not work at all on them. I have had abortives quit on me before, but not that rapidly and imitrex was working quite effectively before these monster attacks hit me. I thought it was possible the twitching was due to dehydration until it came back with the migraines immediately, so now I am not sure what that is about. I have a doctors appointment coming up obviously, since this caught me quite unprepared and I would rather it not happen again. I have no secondary medications to handle that kind of pain if mine suddenly fail on me. But I was wondering if it would be a good idea if I asked her to send me back to the neurologist? Or is this not unusual?