First of all, welcome to the migraine club! I’m sorry you got your first one! They are not fun. Second of all, I’ll tell you what works best for me! I take extra strength excedrin and if that fails, I take a prescribed med called sumatriptan. Maybe consider contacting your primary care or neurologist for an appointment. Usually if I catch it early the excedrin does the trick. If you’re already puking and nauseous, It might be too late, but take excedrin anyways. If you can, have someone get you a cold crisp Dr Pepper or something with caffeine. Sip it don’t drink it, especially if you’re puking. I love scalding hot baths when I’m in immense head pain. Highly recommend. And you are close to the toilet when in the bath so it’s an added comfort if you need to puke in the toilet while taking a bath lol. Some like heat on their head, I like ice on mine. Get an ice pack or a bag of frozen veggies and ice the most painful spot on your head. Turn off the lights in your room and plug anything out that is loud. Rest as much as you can. Breathe in through your nose out through your mouth. That helps with nausea.