Migraine Remedy Question

[Ksa]

In the last 6 years I've been having a 8.5/10 migraine once a month periodically. Seeing a neurologist in August this year. Meanwhile, wondering what you guys are doing to lower pain. My migraine kicks in to a full 8.5 pain rating in less than half an hour, leaving oral triptans pretty useless and the mouth dissolving are too expensive.

I however found a way to predict when the migraine will occur 24 hours prior to it by chewing 2mg of nicotine gum daily until chewing it triggers a headache. This, without error, means that the migraine will occur the next day in my case, for my body, with my living conditions.

I use a multi-modal analgesia made of a preparatory combo I take after I probe a migraine with nicotine, to prepare the body to receive the multi-modal combo:

- Ranitidine Hydrochloride 150mg (2 doses within 24h)
- Multivitamins
- Magnesium Chelate

When the migraine occurs, within the first half hour I simultaneously take:

- 600mg of Acetaminophen
- 250mg Caffeine
- 90mg Codeine Phosphate
- 500mg Sodium Metamizole
- 60mg Pseudoephedrine
- Thums

With this combo I manage to prevent the pain from exceeding 1/10 but it still gets up to 5/10 for a few seconds when I stand up suddenly. Does anyone know a substance best working for him in treating his migraine that I could add to my treatment?