Ice and relaxation does help me cope, earplugs, lights off, Amerge taken as needed. I also take Propranolol daily as a preventative, to cut migraines down to 3 -4 hopefully a month.

Hormonal shifts/perimenopause could be a trigger. Paxil could be, recent stress could be. I am also reading up on Medication Overuse Headaches, I would not have thought that I was overdoing any med, but apparently more than 2 times use in a week can backfire for some of us and cause headaches.

Migraine meds giving us migraines.

Will definitely check with doc if anything worsens, she has talked over a lot of this with me and likes that I am able to keep track of my symptoms and experiment, trial and error, find what works within reason.