I hope you are well.
I have suffered from terrible migraines for a number of years. Severeral months ago my neuro prescribed Topiramate to me and started me on 25mg twice a day and gradually built up the dose to 100mg per day.
I also have a Sumatriptan on prescription for acute episodes.
Recentley my migraines got worse so the dose was increased to 200mg per day and he has mentioned again yesterday about increasing in still more.
I too, like you am always very weary about taking pills but have found these a real help and have had no ill side effects.
I hope this helps