Hi Mike, Welcome.

You left out the amitriptyline.

I was able to figure out Imigran (Imitrex/sumatriptan here), and I'm not sure what ORKELAX is, but you need to go back to your doctor, update him/her, ask to try a different abortive (than Imigran), and for a referral to a migraine specialist (not just a neurologist). Getting a proper diagnosis on what type of migraine you have is important in treatment.

In the meantime, start a headache log/journal (google: headache log journal). Read up on them, view a few samples, and either use one of those or modify/customize your own. This will speed things along when you see the migraine specialist. You might try sleeping on a wedge/incline for a few nights to see if that helps any (keeping your head above the rest of your body, but don't kink your neck).

Do you consume a lot of caffeine? Aspertame? MSG? These are just 3 common items in peoples' diets that can trigger/exacerbate migraines.
Google: foods that cause migraine.

Migraines are seldom one-time occurences, so it might help to read up on them just in case...

HTH,

Doc