Looking for the Best Preventative Medication for Chronic Migraines

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I've been prescribed topiramate for years and it's been wonderful

So far I've just been taking supplements - magnesium and riboflavin - to help. My migraines have gotten largely under control, but there are definitely more factors than just the Mg and B2.

Sandomigran(aka pizotifen). I've had no luck on many other medications, but I've gone from having 3-4 migraines a week to maybe 1-2 a month on pizotifen. But a lot of people experience weight gain on it, so that might be something to consider for the pros and cons of this medication

Relpax helps me

I get migraines but not chronically, usually tied to overworking myself or the weather. Since I started the beta blocker propranolol I've had way less of them! I still get migraines but very rarely, I take a very small dose once daily bc I have a sensitivity to it (ME/CFS related). Idk your med or health history but I think it's worth looking into if you want

Tylenol helps me, but I can't use aspirin.