@Onandon03 I did my best to cut/paste from the PDF. It lists those as rescues, not to be taken all together!
When I get an “attack”, it starts as ringing in my head, but more in left ear (ringing above baseline). Then I get a floaty feeling, like a mild rocking. Then my left side of face gets “pressurized” and neck muscles crunchier than normal. This develops over a few minutes. I go immediately and take 600mg of ibuprofen. About half the time, it will go away within 30min. If not, I then have to take klonopin. That then knocks it completely out. If I don’t take anything, it progresses to a basilar migraine, with major rocking dizziness, screaming tinnitus, tingling in my face/leg, uncoordinated walking, inability to find words, wavy vision (like looking at heat coming off a road). I do not always get the base of skull death headache, but the Neuro says it meets the official definition of basilar migraine (now called migraine with brainstem aura) by meeting a certain number of symptoms.
When I’ve had a prolonged dizziness (weeks) that is not a basilar attack (seems more inner ear, always with fluctuating tinnitus), the only thing that really helps me is a steroid pack.
For all of this, effexor has been THE BEST preventative I’ve tried. If it wasn’t for the insomnia, it would be almost perfect. Like I said, it stopped an extended flare at 8 beads!!! No steroids for me this time.