Passionista,
I'm so sorry you have chronic headaches
... I can sympathize, I know how much they interfere with each and every aspect of life.
My very first memory is of a headache... I even remember thinking "I'm too little for a headache, that's for grownups". I've tried every over-the-counter drug out there, and numerous prescriptions. The majority of my migraines are from dilated blood vessels, so the vasoconstrictors (Imitrex, Relpax, Zomig) work great when I have one. If I have a sinus headache, advil usually works. For low sugar, juice and advil. For clusters or uncontrollable migraines, a combo of a prescription narcotic, Promethazine (anti-nausea), ice pack to the head, and a silent dark room. I then pray for sleep. If it's too bad, a doctor will also prescribe Cyclobenzaprine (muscle relaxer), or I visit the ER to get an IV or injection so that I can sleep it off.
Things that didn't work for me: Tylenol, aspirin, Aleve, any OTC "migraine" formula, Prednisone, Reglan, Toradol, Compazine, Tigan, Zofran, Effexor, Midrin, Depakote, Topamax, Propranolol (couldn't continue with that one, it lowered my already-low blood pressure)... pretty much any anti-depressant. I know there have been others but that's all I can remember right now.
I had limited success with Amitriptyline, Neurontin, and Ambien. I have a real issue with insomnia, so my headaches seem to decrease with better sleep.
I've had a lot of tests... blood tests, CT scan, MRI, and a neurological exam where they glued little leads all over my head. So far no one has been able to tell me exactly why it is that I have my headaches. At one point I was tested for meningitis, and it was found that I had high CSF pressure, but no one was able to tell me why or what to do about it....just that it could contribute to the headaches and it wasn't a concern. So since I don't really have any answers, I just cope the best I can and every once in a while, get another opinion. Oddly enough, I seem to have more headaches the smaller I am, so that's one thing that concerns me about losing weight. I know, it seems like the opposite should be the case, but I guess I'm just an oddball.
Anyway, I certainly hope that there's nothing serious but you're able to get answers and treatment so that you'll feel better. I'll be thinking about you!
Keep us posted!!
Cat