Its nice of you to be concerned for your boyfriend... very sweet :)
Personally, I love my Imitrex. Thats the first thing they put me on. I first tried the oral and all I need is 50mg. Sometimes, when its really strong I need 100mg, but most of the time the 50 will do it. It can run about
$9 a pill... which can get kind of expensive. So I get the 100mg and cut them. This can be kind of tricky since they are triangle shaped but I've got it down now.
Also, when I take one, I have to take it early on enough and only when its on my dominant side (which happens to be my left... if I have a migraine on my right side, I'm pretty much screwed and need to go to the hospital and/or its going to be a long few days) So when I take it, I HAVE to lay down in a dark room and either focus on the tv or close my eyes. Sleeping usually isn't the best thing for me, but thats me. If I can concentrate on happy thoughts/getting rid of the migraine or focus on forgetting it it'll go away in 30 minutes of less with the Imitrex.
The side effects aren't bad at all... I get a tight feeling in my throat, hot-flashes (no I'm only 20 years old haha) and only a LITTLE bit of fatigue. Thats about
it. No loopiness whatsoever. I'm ready to go on with my day. Numerous times I woke up with a migraine, took Imitrex, relaxed and ended up going into work or to class at noon... totally fine.
Now, lately, Imitrex hasn't been working for me EVERY time, but again, thats just me. I've started a preventative and it sounds like your boyfriend may need that. I'm not trying to be a doc here but as often as he has them, his days may be much more enjoyable. I was having them at least 3 times a week. Sounds like his pattern is pretty bad and if he's going to be on this loopy drug or have a migraine all the time, he might as well get on a preventative, in my opinion. Thats that conclusion I came to with myself.
I hope he gets to feeling better. I'll let you know that Imitrex offers a nasal spray, which doesn't work for me at all, and tastes AWEFUL when dripping down your throat (ew) which also, in turn, doesn't let me relax when I would use it and may have been why it didn't work... AND also offers a shot you give yourself. Ouch. Those may be other routes he could take. There are also many different preventatives if he chooses that route. I'm on Topamax and so far so good.... I was scared at first but thats how I found this site, in looking for information on the drug. I love this place!
If you have anymore questions feel free, everyone here is sooo helpful!
Take care, Happy Holidays!!!