Amitrityline-2%, Ketoprofen – 10%, Gabapentin
3%, Lidocaine2%, and Transdermal Gel
– 60 g. TID
And I also use a prescription Lidocaine nasal ointment which again does not enter the blood stream. It's unpleasant, but effective which may be why my neurologist took 2 years to prescribe it for me. You need to insert the ointment very slowly so that only a small amount goes down your throat, but not enough to matter. He prescribed 2 ml in each nostril, no matter which side the headache is on.