If your physician is the type who overmedicalizes everything and attempts to solve all problems with drugs, you may want to seek a second medical opinion. Some physicians will prescribe a drug even when the problem is one for which drugs are not the best answer. When a side effect appears, they tend to view it as a brand new disease to be treated by prescribing yet another drug.
It would be wise to seek a second opinion about any decision to “manage” your headache with drugs on a long-term basis. This is especially important if you are taking a daily “background” drug and add a painkiller during attacks. It is all too possible that, far from being the best treatment for your condition, such drug management has been prescribed as the treatment least likely to provoke a litigation suit.
Side effects from “maintenance” drugs have turned many chronic headache sufferers into passive, helpless zombies. If you suspect you are being kept on a drug that you may not really need, you should seek a second medical opinion. Not all doctors are equally competent. Even within medicine, there is a choice of regimes for treating chronic headache. A second doctor may know of a less costly, less harmful, and more effective treatment of which your own doctor is unaware.