I'm so sorry to hear that you are struggling. Last week I had the first migraine I've ever had. Oh my. I went to ER, hubby drove me and they gave me a few meds. It was so nerve wracking because I kept telling them I have dysautonomia how will this effect it as I've never had the meds before. They kept me there and monitored me. I did not fill the preventative migraine med. I will chat with my specialist first. Rest, fluids and darkened room. Cool washcloth. They also gave me fluids. The meds made me feel loopy for a while, but migraine went away