Diclofenac works very well for me. Tablets work within an hour most of the time, and intramuscular shots work within about 20 minutes every time. But the long term potential side effects aren’t great, so new options would be fantastic.
Migraine abortives like triptans and migraine inhibitors like these CGRP antagonists (erenumab and now ubrogepant) are not painkillers. They attempt to stop the migraine, not just numb the pain. They're both in a league of their own.
Once I have a migraine, travel is exceedingly difficult for me.
self injection is an option, apparently.
Basically it just sucked. Especially sitting in the bright waiting room, sweating bullets, trying not to throw up before I was seen. My most serious migraines can last a couple of days, and are just awful. Making it go away almost instantly was alway worth the hour or so of additional suffering to get a shot. I’ve also got a rather high pain tolerance, and tend to only get worn down by pain that lasts a long time.
I don’t know if it would be as effective for anybody else, but if you get migraines that seem worse than death, I’d recommend asking your doctor about it.
Please vaporize or use it sublingually - it may change everything.
I don’t think there’s any limit to how proficient you can get at it. I think about that Vietnamese monk who set himself on fire and managed to calmly sit through burning to death, there’s no way anybody could do that without having total control over their pain response. I’ve obviously never experienced anything that traumatic, but I have been in situations where I felt the symptoms of shock setting in and managed to calm myself down enough to get on with things.
I will ask, though.