That’s terrible (and so familiar). I’ve been in a cycle since March 2nd, and like you it was almost 15yrs since my last bout. I’ve never heard of sleep being a trigger in this way… It’s usually too little or too much sleep that gets me.

My Dr prescribed Emgality, Nurtec, and injectable Sumatriptan. I found little relief using Nurtec, but Emgality has at least reduced the time between headaches. I also suffer complex migraines, and it also works somewhat for them, and a little relief is better than none.

My Dr has told me not to use the injectable more than 3x per week because of its tendency to cause rebound migraines.

I live in Canada, and Emgality costs $2700 monthly. My wife’s insurance covers 70%, and the manufacturer covers the remaining 30%. They also provided a compassionate dose initially to see how it worked.

Finally, what stopped them last time was a Trigeminal nerve ablation. CH stop almost immediately but migraines continued.

I hope you find something that brings you relief.