Are These Pre-migraine (Prodrome) Symptoms?

Dizziness, tremor, hot flashes, fatigue, cold hands and feet, mental fogginess, nausea, increased pulse. I was excited to discover this cluster of symptoms and thought them to be warning signs, also called prodrome, that a migraine was coming on. The earlier a migraine is detected, the earlier it can be treated, thus increasing the likelihood it can be aborted altogether. At least a dozen times, I took a triptan when I recognized these symptoms coming on and avoided the migraine pain completely. I’d feel funky for an hour or two, then feel much better. Yay for triptans, or so I thought.

Grocery shopping one day, the symptoms hit and I didn’t think to take a triptan. The symptoms were so severe that my cart functioned as a walker. I felt awful when I got to the car and knew I should go home. But I really, really, really wanted to go to Goodwill.

I pushed through, risking worsening the migraine. I put on a hat, sunglasses and earplugs to get through the store and my decision-making abilities were severely curtailed. Still, an hour passed and on my way home I felt better than I did before I went to the thrift store. So much better that I spent the afternoon cooking and cleaning.

I began experimenting with not taking a triptan when the symptoms hit. They still lasted for an hour or two and then lifted. Exactly the same pattern as when I medicated for migraine.

Are these migraine symptoms at all or is something else causing these flushes of autonomic distress? My doctor speculates medication side effects and I’m going off my antidepressants to see if that’s the case. I have to wonder if they are part of some other disorder, maybe adrenal or autonomic. Any ideas?