I have not tried propranolol, but I have idiopathic low blood pressure (95/55 is not uncommon) so that's probably why they haven't suggested it for me. I know there is one more med they're mentioned that I can try. Topamax makes me irritable and stupid, but it's better than the migraines. frown I do have one painkiller that works for me--Fioricet. I have been given all kinds of things--I could have a black market painkiller business if I wanted to--but it's the only one that works. Unfortunately, it has addictive potential. I was needing to take 2-3 a week on the Elavil, which is why I went back on the Topamax, which beats them back to where I only need 2-3 pain pills a month.