I’m so sorry to hear about your struggle with symptoms but — wow! It sounds like you’ve come a long way and are making progress. I hope the next 2,000 days are a LOT better!

Thanks for mentioning the sublingual tabs. It’s really a little surprising more medications aren’t available in these forms, but I think we’ll see more in the future.

I believe my case has been caused by the number and combination of meds I’ve been on over the last several years since being diagnosed with transformed daily migraine. Over the last year, I have now gone from 8 meds a day to 1 — Prilosec. Ironic, isn’t it? I’ve replaced the meds with herbal supplements and vitamins at therapeutic dosages.

Your suggestion to take acute meds (migraine treatment not preventative) by injection or inhaler is a good one. You can also take a quick-dissolve tab (like Maxalt/triptan). You place the pill under your tongue (sublingually) and let it dissolve. This administers the drug directly into your bloodstream. It goes through the large vein running under the tongue rather than traveling through the digestive system. This has been my preferred method because of the severe nausea and vomiting I have endured (nearly 2,000 days in a row).

I should add a warning about inhalers — make sure you rinse your mouth several times over a 20-minute period after you administer. This will remove the medication that drains down the back of your throat and gets into your mouth. The med is very bad for gum tissue (according to recent research reported to me by my dentist). It has certainly contributed to my periodontal problems. So, rinsing is important plus it gets rid of that yucky medicine taste.

Gyan