@lisalucier - When necessary, I take Rizatriptan at night for my Hypnic Headache and it usually works. I had been taken Fiorcet for years as it was fast acting, no side effects and I was able to fall back to sleep. Felt really good upon awakening. However, I think I’ve been building up a resistance so switched to Rizatriptan. As of now, (Nov, 10), I’ve completed by second round of Botox shots for pain. It’s been 4 days but I’ve had two nights without a headache and hope it keeps up. I also had an unusual nerve pain procedure for my Trigeminal Nerve Pain. I’ve been dealing with two separate issues for years. For Nerve Pain, I discovered something called Scrambler Therapy. I read about it thru Mayo Clinic but found a clinic in New Jersey that does the procedure. Totally non-invasive and not painful. Also, so far, very good…..I’ve been dealing with two pain issues for quite some time and really want to be medication free.