Tramadol
"I use tramadol as an alternative to triptans like Amerge and Imitrex. Unfortunately I get 20 - 25 migraines a month. I am scheduled for a meds update with my neurologist and will be giving Botox a try. I have been more concerned about the rebound issue than addiction. A one month refill lasts me more than four and on those wonderful days that I don't have pain, I don't take it. Those periods can run from 3 - 6 days. The tramadol rarely kills 100% of the pain, but I'm usually functional. The Amerge and Zomig were giving me terrible stomach pain and palpitations. Tramadol has been very helpful for me without any issues. However I do make a point of regularly reviewing my usage with my doctor."