In the past couple of years, I have begun having migraines again after about a 15-year hiatus. Other than increasing job stress, there are no major changes that happened around that time. I do take rizatriptan as an abortive, which works fairly well, but not as well as it did a year ago. About 4 months ago, I had the worst migraine ever. The meds didn't touch it, and I was so bad DH nearly took me to the hospital. I was left with 7 hours of no memory, and about 48 hours of speech and cognitive dysfunction. The migraines have been worse since that time, and have somewhat changed characteristics (may be bilateral pain, more nausea). My doctor isn't overly concerned; he says that a severe one like that can cause sort of a reset that can take months to correct.
One of the interesting (?) things is that for every 10 migraines I get, 9 of them are on the weekend. There are no particular foods we eat at certain times or other things I can link--other than that on the weekend I get 8-9 hour of sleep each night instead of the 6 that I get during the week. And six is NOT enough. So I experimented this weekend with sticking to my regular, inadequate sleep schedule Friday night and getting up at 5:00 on Saturday. Migraine free. I slept 8.5 hours Saturday night and woke up with a migraine today. Could it be that simple? Or am I kidding myself?
But...because of other chronic healthy conditions, it really isn't feasible for me to not do a little bit of sleep catch-up on the weekends, and my work schedule doesn't often allow me to get more than 6 hours during the week.
Anyone else have this weird migraine pattern and perhaps has found a solution? I haven't ruled out food triggers, but so far haven't found any direct causal link that is consistent (other than MSG, which I avoid like the plague).
I'm just really frustrated to losing at least 1 day every weekend to a migraine--even with the meds due to the severity of my postdrome symptoms!