I get hemiplegic migraines, too. I see a migraine specialist who has been wonderful. He told me its important with hemiplegic migraines to not take medicines like maxalt (migraine preventatives) because it could cause a stroke. He put me on zonasimide, elavil, and norco for pain. The elavil really helps me to relax and sleep which is important.
So my suggestion would be to seek out a migraine specialist or at least get a referral to a neurologist. Try to avoid stress. I know the hormone increase that comes with my menstrual cycle can trigger migraines as well as certain smells and bad weather. Definitely try to find your triggers in a journal. I found chocolate can trigger min, too.
Nail patella syndrome, osteoarthritis, complex migraines, eosinophilic esophagitis, major depressive disorder, OCD, and fibromyalgia, IBS
Meds: flovent 220 mcg, flexeril 10 mg, zonisanide 100 mg, omeprazole 40 mg, Cymbalta 60 mg,dicyclomine 20 mg, elavil, 10 mg, Xanax prn, hydrocodone prn.