How often are you having them? Each month during your cycle or just sometimes? Do you have them every month during your cycle? I have the aura ones and I know the sensation and then know I am getting one! I am not sure of all my causes yet but I do know one for sure, it is any light that shines in my eyes, whether it is looking at a light bulb, the sun shining on a car as it passes by, or just lights in general. Another thing is weird patterns like stripes or small dots, etc Anything that messes with my sight. For the light I ALWAYS have my sunglasses with me and I only buy the Maui Jim that have the UVA and UVB guard. When I feel it coming on I immediately take my meds and most of the time it helps but even if I catch it before the aura, I feel weird and tired the rest of the day. I am on MAXALT. You can have pill form or the melt on your mouth one. I went to a neurologist in Nashville if you are interested. Personally I would just ask the one you are going to now to give you maxalt to try. I don't have any side effects at all. The key is to catch the migraine before it goes into full blown. When you feel that sensation, take your pill. One thing one doc told my mom was to take a baby aspirin with a magnesium pill everyday to help control them. I started it and it actually seemed to help. Magnesium is good for nervous system and the baby aspirin helps the blood and the migraines are from the blood vessels in your head...not sure what happens but that is what I heard. Good luck! Ask for a sample of Maxalt, mine had some. They are pricey and you want to see if it works first.