How do you manage severe migraines?

Preventative Treat: Alot of the management depends on the pattern. If your headache is mainly around your menstrual period taking a drug like Frova for a few days before and into your period may help. Abortive medications like imitrex, frova, Relpax (eletriptan) are helpful. If you have headaches multiple days a week you may want to try a preventative medication like topamax. I suggest seeing a neurologist.

Many things: If the excellent suggestions made above are ineffective, there are a wide variety of preventative medications that can reduce the frequency and intensity of migraine headaches. These range from seizure medications (e.g. Topamax), to antidepressants (e.g. Elavil) , to blood pressure medications (e.g. Verapamil). Other options include occipital nerve block and Botox injections for refractory cases.