I know mine are there when I wake up in the morning. By 10:00am I will be praying to die, they make me puke (dry heaves like way too much whiskey), the white light spikes and the pain feels like my brain is rotting. All the over the counter crap in the world won't faze them. I have to take this stuff called Relpax, aka. Elitriptan. Is like a silver bullet on the headaches, take one when I feel the spikes starting to form and within an hour it's like nothing had happened. They ain't cheap but fortunatly my insurance picks up the tab. For small favors I'm truly grateful.