Well, I went to the hospital two years ago with a headache, loss of speech, face numb and arm numb. Thought I was having a stroke. Long story short, the neurologist said it was complex migrains. Haven't had them like that since. However, he did say that imitrex or whatever will GIVE you a stroke if you hav COMPLEX migraines. I am glad I didn't take the sample the dr. gave me the day before. I know it is a crap shoot going to docs. They give you what comes to mind at the time. That is why I always ask many sources before taking anything new. I don't think I will take the ULTRAM. God, I don't want a worse headache. Dumb doctors. Thanks to you all for your imput and help. Damn this pain we have.