"for several years i ended up in the er for severe migraine treatments. in the beginning i was always treated with a narcotic and anti nausea. after taking narcotic and triptan at home failed, usually vomiting uncontrollably.  now i take oxycodone daily.  when it fails i go to the er and now, i get torodol.  it works better than any narcotic.  very fast relief.  i rarely get it i.v because now i go before i vomit.  the shot in the butt does not bother me and fastest way to get rid of the pain.  if i am already vomiting i still take the shot in the butt and the i.v with anti nausea separately.  i.v is too slow for pain relief.  never had side effects.  but i guess i am getting a mix between the narcotic at home and the shot.  never took it alone."