sarah what you are describing sounds like hemiplegic migraine (with the confusion and speech probs.) do you also get the vision and weakness/numbness on one side of your body? you want to make sure they rule out mini stroke or TIA first. anytime your headache is that severe and changes pattern that much you need to be evaluated medically again- at the hospital as soon as possible. if it is a stroke there is only a liminted time frame where meds can help halt the progress of it. imitrex or triptans in general usually don't work on hemiplegic migraines because they help narrow blood vessels in your whole head and hemiplegic migraines only effect one side of your head. matter of fact triptans like imitrex, i've learned from my research, can increase your risk of having a stroke(if it is hemiplegic migraine), so be careful with that. however muscle relaxers can help because it helps decrease vasospasms or muscle spasms in the blood vessels of your brain.
daily aspirin and a muscle relaxer have helped with prevention of my hemiplegic migraines. prior to that i was on dozens of things that either did nothing or made me feel worse. (antiinflamitory, antidepressents, seizure meds, blood pressure meds-all for migraine prevention). i recently started the aura (started losing vision and speech) and knew i was in for a bad one. i took 1,000mg aspirin and a muscle relaxer at onset of aura and it halted it!!! i was shocked ! the actual head pain and weakness never came on. prior to this fioricet has worked for the less severe ones and stadol (which is an opiate nasal spray) has been the only thing that has worked to knock out the pain, if temporarily, for severe ones. also compazine for severe nausea i get with my migraines. My severe ones can last for weeks till i'm back to myself. another key my doc tells me is to take the med right away.the longer you wait the harder to control it will be and longer it lasts. hope this is of some help to you
best of luck,
Bethuk yes my last hemiplegic migraine i took 1,000mg of aspirin and a muscle relaxer at onset of it and it totally stopped it! i don't know if it will work for you or even for me again, but it's worth a try. i don't know if it will work that late in the game on your 4th day of it, but i would try it and see.
good luck to you,
southern bell yes i get the severe nausea also with my migraines. i take 10mg compazine for that, and it works wonders! please do let me know if the aspirin/muscle relaxer/anti-nausea combo works for you. i really hope it does help someone else. i have been fortunate lately with my migraines. seeing how i'm out of fioricet i am giving excedrin migraine a try and hmm guess it helps a little with the mild ones. i'm happy to report no severe or hemiplegic ones lately!