been noticing my triptan kills a migraine if i catch it during prodrome, but once i’m an hour or so into actual pain it barely touches it. could be coincidence but it feels consistent. problem is i drive delivery, so half the time i can’t dose during that narrow window. i’m mid-route, can’t exactly pull over at the first sign of aura.
by the time i get to my bag and take something, the migraine’s already there. i keep hearing about gepants as a potential backup, but i’m wondering if they actually work better once you’re deeper into an attack or if it’s just different marketing. because if my triptan’s window really is that short, i’m curious whether i need something with different pharmacology. anyone else deal with this?
does your abortive have a hard cutoff where it stops being effective, or does it still help even later in the attack? trying to figure out if this is just how these drugs work or if i’m missing something.