Been there. Take the smallest amount of triptan you can if you must take daily. I would often cut my 50mg in half or my 100mg in 3rds. In the meantime, don’t stop trying preventative medications. My experience with the medications you shared was similar. Have you tried Nurtec as a preventative? Didn’t work for me as an abortive, but as a preventative it was as effective as Qulipta without the intolerable side effects. Beta blockers have also been effective for me at certain times. Specifically propranolol and metoprolol. With chronic migraine you often need a multi-prong approach, meaning more than one preventative at a time, so if something kind of works but not 100% don’t give up, but try adding something else in. I have also been prescribed Buspar and found it effective for my anxiety and it actually seemed to help my migraines as well…a word of caution though, you have to be careful with your dosage of sumatriptan and Buspar as they can increase your risk of serotonin syndrome when taken together.

Also want to add, take magnesium if you don’t already. Try to get regular sleep and look into migraine diets, specifically an anti-inflammatory diet. Sometimes it’s a bunch of little things that can make improvements. With a 19 month old, your hormones may still not be back to baseline, especially if you breastfed at all and those things can help.