If you get one or two a year, it might be nice to have some Imitrex or other triptan on hand (or whatever abortive might be appropriate for you), but really, I wouldn’t be too concerned. I would definitely discuss it with your doctor if you haven’t already. One other thing I would suggest is to see if you can figure out if you have a specific trigger that might be causing them. It might be something you can avoid.
Since everyone seem to be sharing their stories, here’s mine:
I’ve had migraines ever since I was 3, probably earlier, but I remember having them at 3. I wasn’t diagnosed until college (I actually diagnosed it myself), and I didn’t start seeing a neurologist for treatment until I was about 30 when I started to have 3 or 4 a month on a fairly regular basis. A year ago January, 3 or 4 a month transitioned to migraine with chronic daily headache. I now average 20 days of migraine a month. Luckily when the frequency went up, the intensity went down. I probably only have really horrible ones about once a week at this point. But there’s a low grade one most days at least part of the day.
My triggers are hard to tie down. I’ve never been ablt to tie them to a particular food. Low blood sugar will set one off, though. Hot, humid weather will set them off gurarantted, so I don’t go out much in the summer during the day. Severe changes in barometric pressure is a contributing factor for me.
I’ve had MRIs and EEGs, and all is clear. My migraines bounce from side-to-side, which indicates that it’s biochemical rather than structural, if that makes sense.
I’ve probably tried 15 different preventatives over the years. Currently I’m on Nortriptyline and Zanaflex. Imitrex is my main abortive, and I take Norco (like Vicodin) as well, but it only takes the edge off.
I’m currently working with one of the best neurolists for headaches in my area to try to get these under control, and I recently started seeing a pain management psychologist to help me with managing the stress, and to learn better coping strategies.
Finally, here’s a link to one of my favorite migraine info sites: http://www.migraines.org/