Severe major migraine ready really bad & severe pain what should i do dizzy & miserable?

If you have already : Tried your usual headache medicines and are not getting good effect, then consider getting to urgent care/er.

Get checked: If your headaches do not respond to pain medicines like tylenol (acetaminophen) or motrin, then it would be good to get checked out by a doctor. You may also want to maintain a headache diary when you have a headache. In this you should write down anything you ate in the hours before the headache started, or how much sleep you got the night before or anything else that stands out and look for patterns.