I have suffered from migrains for 30 years, I have only just got them under control I take propanalol on a daily basis, to keep them at bay. when i get an attack I take imigran immediatly this is brilliant and usually works within 20 mins so I can carry on working. I have also just started to have botox for the treatment of migrain, this paralyses the muscles. its expensive but i has cut my migrains down by half, so worth it to me.
Hi there. I understand your predicament and concern. Your migraine attacks are triggered by fragrances and smells of various kinds. The two ways of avoiding an attack in a known case of migraine headaches is to avoid the triggers and the other to use medicines, which prevent an episode. The various other known triggers are stress, fasting, hormones, bright and flickering lights, odors, aged cheeses, chocolate, MSG and aspartame in foods. Your workplace and close encounters with people indulgent in fragrances appears to be unavoidable. You could consult your neurologist to advise and prescribe you any of the preventive medicines like beta-blockers, calcium channel blockers, tricyclic antidepressants, anti serotonin agents and anti convulsants. Your doctor would consider the side effects, drug-drug interaction, any co morbidities like diabetes, hypertension and cardiovascular disease. Drugs to treat an already present attack include triptans, ergots and midrin that are a combination of isometheptene, acetaminophen, and dichloralphenazone. Hope this helps. Take care.