After a year since my previous post on this thread, I have tried the naratriptan, (generic Amerge) and found it to work well for me. I am still using up my Maxalt, but have used the naratriptan several times now with good relief of pain after about two hours. I did have one episode in which I got very nauseated, with blood pressure a little elevated - like 149/90, but this finally resolved and I eventually went to sleep, though it took much longer than usual. It was a little scary, since I had also started taking an SSRI medication, and have been concerned about potential interaction and the "rare" possibility of "serotonin syndrome". My doctor and pharmacist convinced me it was very unlikely to develop this problem, citing many other patients using both medications. I'm still a little wary, but so far so good.
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