R.,
My wife has asked if I could help you since you have not had a response yet. My family has had a history of migraine issues, and she thought it possible I may be of assistance.
First of all, I think your physician is not familiar with migraines, or they would not have gone the route they have.
It sounds as if you are having "rebound" migraines, which are actually caused by the pain killer meds you are taking if that is the case. It is something many people who have had serious migraines experience, but few physicians understand.
Here is some information from Johns Hopkins on Migraines:
http://hopkinsneuro.org/vestibular/disease.cfm/condition/...
Here's some from Mayo Clinic:
http://www.mayoclinic.com/health/migraine-headache/DS00120
I would recommend a Triptan med to get you out of your current rebound cycle, although you must remember I am not a physician.
Here's something from Mayo on Triptans:
Triptans. For many people with severe migraine attacks, triptans are the drug of choice. They are effective in relieving the pain, nausea and sensitivity to light and sound that are associated with migraines. Sumatriptan (Imitrex) was the first drug specifically developed to treat migraines. Related medications include rizatriptan (Maxalt), naratriptan (Amerge), zolmitriptan (Zomig), almotriptan (Axert), frovatriptan (Frova) and eletriptan (Relpax). Side effects of triptans include nausea, dizziness, muscle weakness and, rarely, stroke and heart attack. In recent studies, a single-tablet combination of sumatriptan and naproxen sodium relieved migraine symptoms more effectively than did either individual medication. This combination tablet will likely be marketed soon.
For your severe headaches, all the meds you mentioned are of little use, in my opinion.
I have experienced "cluster" headaches over the past 25-years. I have learned the triggers over the past 10-years, so I have mostly avoided them. They are the worst pain I have ever experienced. I have broken 16-bones in sports, had my knees torn to pieces, played sports with broken limbs, torn ligaments, crushed cartilage, and have a very high threshold of pain. Only one thing has ever given me so much pain I've slammed stuff against my head to make it feel better - and that is the cluster headaches, which are a type of migraine. Here is a link describing them:
http://www.mhni.com/clusterheadaches.aspx
This is where I went in 1983 to get over them. They helped me to the point I have not had one since 1999 after having them every 6-months the prior 16 years. If you do not get satisfaction through your regular physician, I recommend them highly. Dr. Saper was and still is on the cutting edge of pain management and headache treatment.
http://www.mhni.com/
I think a triptan med can get you out of your cycle, and you could benefit from a "prophylactic" med the head one off the next time your cycle comes. A qualified physician with experience treating this would be able to discuss the options with you.
There is hope, and you will see the light at the end of the tunnel (although you shouldn't look at it, as light may tend to make your headaches worse <G>).
As for your current non-pain related symptoms, it sounds like you are reacting to the new meds your doctor gave you or just run down from fighting this the past 3-weeks.
If you get the Triptan meds, you could likely function the next day at work just fine. Without it, I don't know how you can cope, as the jobs you describe will usually make headaches much worse.
Good luck, and punch your Doc for me the next time you see them, if ever again.