Maxalt is not in the same class as the immatrex. It does not affect your heart rate and blood pressure like the others (I have the same problem, I'm not supposed to take them because of the blood pressure and heart rate thing. But too bad.) It was only effective for me for about 8 months, after that I might just as well take excederin.

There are also different beta blockers that they can put you on that are heart healthy (actually heart drugs that were found to decrease the occurance of migraines and an unexpected side effect). I find that mine are more likely to occur during the week before my period.

As I said, my daughter has had a great deal of success with topamax, that does not act the same way either. It also had the benefit of helping her lose the last 20lbs she wanted to. When she does get a migraine these days, they're not as severe but she still has meds for the nausea and some new form of anti inflamatory for pain.