I have had a severe migraine for 4 days and with it a new pain like lightning bolts. none of my meds are helping. should i be worried? can't take it!

ER: I don't know what medications you have already taken, but if you can't obtain relief and can't get in touch with your Physician, I recommend that you go to the hospital emergency room for evaluation and treatment in view of the prolonged nature of your symptoms.

Need preventative: Your migraines are likely evolving into chronic daily migraine pattern, which, if not broken up, could lead to a very nasty cycle of worsening headaches, and poor responses to medications. First, stop all pain preparations, and secondly, contact a headache specialist and start to prevent this pattern.