I was lucky this month when I caught that hormonal migraine stretch early. As I have said before hormonal migraines are brutal... a trigger that keeps on going for a week, such that the migraine is continious and very difficult to treat. The most effective treatment I have ever had for these was strong anti-inflammatories taken for that week, unfortunately, strong anti-inflammatories can do some damage to the digestive system and in my case they did, such that I can't even take an Advil these days. However, triptans just don't seem to cut it for these migraines and if these migraines are not treated aggressively they can lead to a status migraine that far outlasts the trigger itself. The best thing to do is take a triptan as soon as this sort of migraine begins, but, with chronic migraines treating them is all about timing and knowing when to treat a migraine and knowing when to just endure because to avoid the risk of a rebound headache not every migraine can be treated. So, obviously, sometimes I miss that oportune time to take a triptan. Still, when the migraine usually persists for a week, treating with a triptan right away may just make that particular day better, but I usually end up waking up with a migraine the next day and so on and so forth. So what I asked of my doctor a few months back was for a stronger, longer lasting painkiller, I could take right from getting up and for a couple of days to treat those migraines before they became a status migraine, thus making it three bad days rather than a week or more. And this works very well. I take a triptan and one of those painkillers and then follow up the next few mornings with the painkiller and the situation is well manager. Again, it needs to be right away. Knowing it is a hormonally triggered migraine that needs to be treated like that opposed to the rest of the migraines where my treatment varies and does not include that painkiller is very tricky. I timed it perfectly this week. It was a better migraine week than it could have been for sure. Got lucky with the timing, which I definately did not last week. They are still killer migraines, but I can definately save myself some pain or help decrease the duration by timing it just right.