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I would think, a medical doctor, regardless of discipline, can write a prescription for meds. Maybe he "won't" prescibe them because the migraines haven't been formally diagnoised?
Imitrex stopped working for me, I then moved on to Zomig...which stopped working. I'm now on something else (can't think of the name... I think it starts with a M). But I haven't had a migraine in a long time...
~knock on wood~