... break this migraine and I'm at the end of my rope. Maxalt is the only thing making my life bearable right now. Is taking atleast 20 mg a day going to have a huge side effect in the long run? I have had steroids a large dose that didn't work Iv'e been to the ER twice and I do not take it until my migraine really starts to hurt because I'm worried about rebound headaches. I have increasing brain lesions found by 3 MRI's and awaiting an MRA thoughts about an aneurysm. I'm scared and getting to the serious end of my rope. My migraines have moved to the back base of my head. the intensity has increased as well as the aura's. I thought I had bad migraines before but this one has hit the 1-10 scale at about a 12.