My first sign is pain under my eye. Left alone, it blossoms into a three day affair. The pain seems to center on the sinuses which had my dr. looking for sinusitis and prescribing antibiotics. I think he believed it wasn't migraines. Like someone else he finally gave a triptan-type drug and it worked like a charm (I remember that I took it for the very first time at DisneyWorld, we were staying at the WL - this was an important event).
I take Zomig. It does make me feel worse, nauseous, for about an hour, but then the pain goes away for about 24 hours. I also get a constricted feeling in my neck. Not like I'm choking, more like my glands are swollen.
I have Zomig stashed in the car, my office, my briefcase. It's everywhere. I'd like to find a cheaper alternative ($10 a dose), but it'll come off patent some day.
I went through a bunch of pain killers... Vicodin for a while. Dopey and nauseated, great.
Prod your dr's to treat you.