As previously explored in the Pain Meds thread, I am a migraineur, and have been for many, many years. My migraines are Common Migraine, without aura. I do occasionally have episodes of fortification illusion, but have never had a migraine after experiencing the fortifications.
I have run through most of the current popular medications, and wound up back where I started--injectable Imitrex.
Triggers--MSG, heat, glare, change in weather, certain smells (such as perfumes, gasoline/petrol). Plus, what Mr. East Hill and I call 'mystery' triggers, as I sometimes have a migraine without a clue as to the trigger! I have to be very careful not to get too hot when exercising, as it will inevitably produce a migraine, so I'm not a really competitive person.
Doctors for years have tried to get me on the evil road of anti-depressants. They do no good, have caused me to gain a lot of weight and not made me feel good. Last go round was Cymbalta, which after just two doses caused me to be paranoid, suicidal, and a host of other bad things. The aftereffects from the two doses of Cymbalta remained for over two weeks. Needless to say, I will never agree with a doctor to go with the prophylactic approach again.
I am especially interested in your triggers. Have you allowed your physician to try you on the propranolol /anti-depressant route, and what was your success/reaction?
I'll end with saying, man, you know I've got empathy!