I'm no expert, but I do use fiorocet with some good results, however I fear I have gotten into rebound as I wake each day with a headache. I am slowingly try to wean down from taking them daily and havent taken one in several days and am hanging in there. (not too happily tho!!)
about 3x a month the fiorocet is not enough and I take imitrex 100mg tabs. However they give me chest pains. My doctor says my heart is fine but i dont like the feeling. So I am going to a neurologist next Tues (been treated by GP) so i will see what they have to say.
I dont want to take imitrex, but i have tried other triptans and imitrex is the only one that works at all, although it does not completely eliminate the headache.
Back to fiorocet, I think fiorocet is good if you can use it sparingly (it has caffeine plus a sedative which help the headache and you feel pretty normal, the caffeine sort of eliminates the sedative affect).
Migraines run in my family, i also have sinus problems and am perimenopausal and have my worse headaches around period time.
Thanks for listening, and hope this helps.
Amitriptyline is a preventative, the most helpful I've found in 17 years of daily headaches. It has helped reduce the severity and the frequency of severe headaches, but not the constancy.
I'm now starting on Topamax -- just finishing my first week and no serious side effects yet. Keeping my fingers crossed!