Excedrine Migraine is just a half dose of tylenol, full dose of aspirin, and a couple cups of coffee worth of caffiene. It's easier to just down the component parts in larger doses. Personally what I do is 800mg ibuprofen, 500mg acetaminophen, every 4hrs. Both work differently (centrally vs locally), so it'll target the pain at all corners.
As far as prescription pain killers go opiates have mixed results. Oxycodone (Percocet) makes me sleepy and works relatively well to make the headache go away, or atleast numb it enough to allow me to sleep. Hydrocodone (Vicodin) makes me too nauseous, and sometimes even makes the headache worse (by headache pain level, and also by adding to the chances that I'll puke). Codeine (Tylenol #3/#4) works the best; this stuff is legal in a bunch of other countries, but because of some stupid laws and views on opiates as a whole it's scheduled here.
Other prescription prevenative type drugs are available for migraines, but results seem to vary greatly. Also, for the chronic sufferer it's been a common thing for the past 20-30 years to put people on a certain SSRI's (anti-depresents) to "break the migraine cycle". This works for some, but others screws up horribly (alot of the SSRI's they tend to use are very potent, Paxil and Luvox being the main two which I disagree with using, mainly for their very physically addictive nature).
Anyway...I had a HORRIBLE one on saturday. I woke up with it, then it got progressively worse throughout the day. While driving home from my buddies house (long tube install gone bad, had to fix his **** lmao) I had to pull over on the side of the road because I was so dizzy, and could hardly see. Once I got home I slept for 3 hrs, woke up and it was worse, slept for another 3hrs, still worse, finally I was awake for the remainder of the day in agony. Long story short after throwing up and passing out again in bed, still hurt the next day. Believe it or not my head still kinda hurts eve now, 4-5 days later.
EDIT:
My 11 year old step daughter gets AWFULL migranes.. She will cry and vomit and the messed up part is when the headache goes away she gets a nasty bloody nose..
If you haven't had that checked out, you probably should - that isn't normal/good. Trip to the neurologist and perhaps an MRI if needed will clear everything up though!