Imitrex/sumatriptan is typically a first line of medication that is given to initial migraine sufferers to see if there is relief, which many do, and also is a requirement with most insurance companies for that reason that it can be so helpful. Zomig/zomitripan is a second round that can be really beneficial and especially helpful with nausea in addition to the pain and aura. It sounds like you are really good hands with your providers.

I have had migraines since I was little and have been on a lot of things over the decades. I also have BP. For some time now I have used Relpax and Zomig depending on what kind of migraine I get. I have Zofran ODT, a sublingual dissolvable anti-nausea med just in case I cannot get the meds down, which is rare these days as I notice the signs to get to the meds before it gets to that point; you will too in time. I do take Topamax daily for several years now which has helped to keep them down to a minimum (1 a month) as opposed to 1-2 a week. I had the added benefit with the Topamax for the BP of being able to come off the mood stabilizer, using the Topamax instead for that. Someone mentioned gaining weight on it and I lost weight on it; everyone's chemistry is so different. Research all meds before starting them but there is no way of knowing how we will react until they are tried, unfortunately/fortunately depending on how it turns out.

I hope you find what works for you. Best wishes for being migraine free or at least more comfortable when you do have them. Speedy recoveries!