I'm sorry to hear you're experiencing severe migraine pain. For immediate relief, you can try resting in a quiet, dark room and applying a cold compress to your forehead. Over-the-counter pain relievers like ibuprofen or acetaminophen may help, but if your pain is severe or persistent, it's important to see a neurologist or headache specialist for proper evaluation and treatment.

If you have any prescribed medications like Topirol (which is sometimes used for migraine prevention), do not start or stop them without consulting your doctor. If your migraine worsens, is accompanied by vision changes, weakness, confusion, or if this is your first severe headache, seek emergency care immediately.

Please consult a neurologist to discuss your symptoms and get a tailored treatment plan. If you want, I can explain more about migraine management options.To narrow down potential causes, we will need some more information.Please tell me your age and gender.