I was diagnosed with migraines in high school and am sure I have had them my whole life. I also have been round the bend with different preventatives and abortives. Currently I am in one of my bad cycles. My neuro is currently looking at adding Cymbalta to my meds, but with the others that I am on I was concerned about interactions so I am waiting to hear back about that.
I know how hard it is to miss work, had to take off yesterday for a trip to the ER. Luckliy my work is very flexable about sick days and I can work from home so I am in a "good" position there. My best adivice is to keep trying different doctors until you find one who will work with you. My current neuro is the first to agree that we have to do something about my menstral cycles as they are the biggest trigger by far.
Here is hoping for you.