Hi Terry.
I too am 41!!! I always ask for samples before I get a script. I tried Axert and it worked pretty well but all in all Amerge works best. I get the 2.5 it's more economical that way. What I do is break them in half. They are shaped like cresent moons. I will end up taking a whole pill usually by the end of the day. I also take Toradol which helps a lot it is a anti inflamatory and it's pretty cheap. They give it in shot form at the ER. Also this is a God Send.... Bengay/Icy Hot Or Tiger Balm on the back of the neck and forehead OMG also ice packs are good :wave:

I get hormonal headaches several days before my menstrual cycle lasting about 3 days into my period, a total of 4-7 days. I wear a estrogen patch which has helped a little, and I also take Axert. I have tried Imitrex and all the other migraine medications but axert kicks in the quickest and lasts the longest. I have heard that the 'nuava ring' which is birth control helps balance your hormones better so next time I see my OB I am going to try that. It is a ring you insert like a diaghragm that delivers hormones slowly and consistantly. Normally, you would take the ring out the 3rd week to have your menstrual cycle and then when it ends put a new ring in...but what my doctor said he is going to do is have me put in a new ring every 3 weeks and not allow my menstrual cycle to happen, keeping my hormones steady. Apparently this is safe and effective for hormone headaches. I will let you know how it works if you would like. The reason most women get migraines is a drop in estrogen, but sometimes the rise and fall of other hormones will trigger a migraine. That is why some of the women get the migraine when the ovulate or other times of the month. You can search the web and find a chart which shows you how your hormones fluctuate every month, and then keep tabs on when you get your headache and try to pinpoint which hormone is triggering the headache and if it is going up or down. Good luck. This is very commen and genetic as well.