I just got finished last week with a five week, yes I'm sure, migraine. The doctor finally gave me a bp med, a beta blocker, that stopped it cold. Propananol (sp???). My daughter also gets severe migraines with nausea and vertigo. She takes amytriptiline every day, 200mg, and that is helping. She had them every day for over a year until she tried this. Just two ideas that have worked for us. I take the Max Alt, when I do get them and normally it works wonders, just not this last time. Cafergot works great, but the caffeine makes me down right anxious and fearful, so I can't take it. With this last bout I was in the er with it and it took two "strong" doses of iv daulaudid to get it to calm down, and the next day it was still back. Demerol at the doctor's didn't cut it either. Thank God, literally, that it is finally over. Yea!!!