Excedrine migraine, tylenol, (acetaminophen) aspirin, and aleve don't work for many other ideas?

Migraine : These are not migraine specific to begin with. Infact, overuse can cause rebound headaches. Triptans are migraine specific. You will need to see a neurologist so you can get treated appropriately.

Migraine management : Any headache must be viewed as a valid medical disorder and the headache assessment must be comprehensive. Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. Rec.: see an orofacial pain or headache specialist for evaluation.