Hello thanks for asking from HCM for your health related queries
I can understand your concern. You have persistent migraine and is not responding to pain medicines. Maxalt is
Rizatriptan and the drug helps to reduce the episodes of severe migraine in most of individuals. As the drug is an ergot derivative so the drug has high risk of developing tolerance if used regularly. The drug can help to reduce the pain but is not a definitive treatment of migraine. For proper relief of symptoms I'd advise you to visit a neuropsychiatrist for treatment.
Medicines like
Amitriptyline,
Nortriptyline,
Sodium Valproate, Topiramate etc are used commonly for treatment. These medicines when taken on regular basis help to reduce the episodes of migraine. Medicines like
Propranolol or Atenolol helps to reduce the frequency of episodes and thus provide prophylaxis. For very severe pain
Sumatriptan can help. Consult your psychiatrist for detailed treatment of migraine.
Apart from this as the pain is persistent then I'd advise you to keep precautions for headache. Avoid moving out in sun lights or use sunglasses. Sunlight is a trigger for
severe headache. Avoid tea, coffee or carbonated drinks for some days. Have good sleep for at least 7-8 hours a day. All these things will help in early recovery.
Thanks, Hope this helps you. Take care
Dr. Seikhoo Bishnoi,
Psychiatrist.