Brief Answer:
Beta blockers

Detailed Answer:
Hello

Thanks for the query

I have gone through the medications you are on, you are on the right medications for them. I would like you to tackle migraines by the following lifestyle modifications along with the drugs that have been prescribed.

1. It is popularly said that 'anything under the sun, including the sun can cause migraines'. Make sure to identify what triggers your headache. Most often it is stress, dehydration, irregular food habits, bright light, lack of sleep or alcohol.
2. Make sure to exercise daily, atleast for half hour. Keep yourself well hydrated
3. Avoid smoking and alcohol
4. Yoga and meditation has helped a lot of my patients

I usually start my patients on propranolol, it is a mild beta blocker and works well for headache prophylaxis. I recommend the same to you. It is taken once a day after breakfast, please approach your doctor with my suggestion

I hope i was of help, if you have any further queries please get back to me

Regards

---

Brief Answer:
Amitriptyline

Detailed Answer:
Hello

Thanks for getting back

If I were to be your doctor I would just treat once a week headache with pain medications and the current prophylactic medication is good enough but that's the amount of recurrence you are facing

However if it is bothering you then the only alternate would be to put you on Amitriptyline once at night increasing it slowly to twice a day dose. It has worked wonders for some of my patients who were refractory to first line of anti migraine pills

regards

---