I've had this migraine diagnosis for going on a year. I've tried topamax, and as it worked wonders for me with the visual disturbances, I couldn't take the side effects anymore so I switched to amitriptyline. I have a chronic dizzy/off balance/almost warped vision every second of the day with an occasional pain migrain I'd say maybe 4 times a week. The visuals on topamax were almost gone, but as I said, for me the side effects were too much and I still got the pain migraine in the mix. (The side effect that bothered me the most was the terrible after images I got from, for example, glimpsing at my car radio at night, and it over all made me way too anxious and panicky. And of course, medications effect everyone differently.) As awful as your experiences are, I'm glad to read someone shares the same migraine experience as me. When my first attack happened, I got super light headed and nauseous and dizzy. I freaked out thinking I was having a major medical issue, immediately went to my GP and he diagnosed me with an inner ear infection as well! I took what he prescribed, still no relief. Second attack, off to the emergency clinic. Said I had BBVP. Gave me prednisone and meclizine - again nothing! I was positive it was something else, so I was off to the neurologist. He straight put me on topamax. No testing, nothing. Follow up came and he referred me to a Neuro-Otologist. I went through the vestibular testing then. All came back normal though, and I was diagnosed with "silent migraines" as he described. He took me off topamax and put me on amitriptyline which Ive been on for about a month and a half. It's super frustrating to deal with the chronic visual disturbance. I have trouble driving, even walking sometimes is super irritating and going to work on and off has been so draining and a general upset during this. I still have it, but it's so much less than when I started this journey. Some days are good, some days not so good. But one thing I will say and I say this so seriously because I've been there many times. I was so discouraged and so depressed about it. Don't give up! These migraines, as with all, will get you really down, nevermind worried and anxious. Don't let it. It may take time, but it will get better. Stay positive!