I feel your pain, too. If it helps any, it really seems that a LOT of people suffer from migraines and that a LOT of those people find something that works for them. I feel like I've tried everything -- I'm 45, I've been getting migraines since I was in my early 20s -- but every time I feel like giving up I find something new or different that wasn't recommended before. I guess that's what keeps me going, the hope that SOMETHING will eventually work for me. Topamax made me really dopey, so I went off it because of that. A lot of women swear by Botox, but after a year, it really hasn't helped me at all. I tried acupuncture for many years and loved it, but it honestly never really helped my migraines. Massage also feels great, but... My new doctor prescribed Frova, which is helping me take Imitrex less; Indomethacin to give my liver a break from ibuprofin/Tylenol combos; an occipital nerve block (it sort of helped); and to visit a sleep doctor and see if we can resolve my excessive daytime sleepiness (a problem I've had since middle school). Apparently a lot of migraine sufferers also suffer fatigue... this is the first I've heard of it, but it makes sense. Anyway, don't despair. At the very least it's good to know there are others out there who deal with this issue, too, and are sensitive to it. Is your doctor a headache specialist, a neurologist? If not, switch to one immediately. At the very least you want to see someone who sees a lot of headache patients.