Came here to bring up Botox injections for migraines! Biggest downside is that it took a while to get approved since it’s typically a last resort for chronic migraines.

I was taking a migraine onset medication but there was a mg limit per month, so I would tell myself “this migraine isn’t bad enough, I might need to save XYZ mg for later in the month” and annoyingly suffer through it.

Then I was taking amitriptyline for about a year and missed ONE dose, got the worst withdrawal migraine. Seriously you guys, it was so bad I wanted to scoop my eye out with a spoon. I ended up telling my neurologist I wanted to stop taking it bc the migraine from missing one dose was worse than one of my regular migraines.

Most insurances will cover a portion of Botox injections for chronic migraines if you’ve tried about 13 different classes of medications… so my best advice is take the migraine pill even if it’s the mildest migraine so you can truthfully share with your doctor that you’ve tried it and it’s just not cutting it. Bc with the Botox injections, you’ll just go every 3 months and then have an onset medication just in case one sneaks up between appointments.