I am having trouble with migraines occurring in clusters. Have had migraines since my teens - now am 51. Never had them in clusters until this past year. Was using Maxalt for them, but this week I had the worst one I ve had in over 30 years and the Maxalt did not work. Then had to take Vicodin with anti nausea meds (was vomiting from Tuesday 4 pm till Wednesday 6 PM) at which time I could try Relpax 24 hours after last Maxalt does. Relpax took the headache away but it rebounded again today. Neurologist recommending trying a nerve block in the AM but gal scheduling says they won t do unless you are in midst of the attack? Is that typical? I hate to think I can t control the pain until then. And I thought a nerve block was meant to be a longer term attempt at relieving the headache process? If not, I d rather find something more long term hopefully.