I'm notoriously bad for not getting my migraine stuff filled. Mine are hormonal so I sometimes lose track of when they are coming until they do. Relpax is the freaking bomb but my new insurance wants me to try some generics first so I've been prescribed Imitrex. Haven't tried it yet.

If it's early, excedrin migraine plus a caffinated beverage and bed with a heating pad will kick it. Mine start in my right shoulder and travel right over my head and sit behind my right eye so the heating pad helps with the muscle and sinus pain (it radiates through them).

I've also been known to take a hydrocodone just to distract my brain from the pain to sleep, but I don't do that unless it's bad and late.

Most often though, as they are hormonal, is to do my best and ride it out.