I get severe migraines. i take topamax to prevent them and botox in the head and neck as well to prevent it. i also take percocet and axert (almotriptan) for them. is it fine?

Migraine can be bad: Some people do get severe, frequent, prolonged, thus disabling migraines. It sounds you suffer this ailment. Topamax is good but does not work for everyone. There are other meds to prevent it. Botox can help if migraines start from your neck area. Percocet is just a pain killer--could help any pain. Axert (almotriptan) is to abort the migraine, but only works for some. Reconsult doc. Good luck.

Migraine Surgery: If you have chronic severe migraines that are refractory to medications you may benefit greatly by getting a surgical procedure that can reduce or eliminate your headaches. http://www.migrainetherapyblog.com.

Migraine Surgery: Migraine surgery has been shown to decrease both the severity and frequency of migraine attacks. These procedures are especially effective in patient that have had a good response to botox.

Everything: Is good except the percocet. I would suggest trying to avoid percocet at all costs. It will results in opiate dependence and cause rebound headaches which can be worse than your migraine in the long run.