I have headaches like that every now and then. Most of the time I take some aleve, throw up, sleep for a while, and then feel better. It may be because I have experienced such bad headaches that I can appreciate how hard it is for my guy to not seek the drugs which relieve his pain.
Even so, I cringe when he starts heading back up that ladder of opiates.
In the past few months, it had seemed that he had gotten himself on an even keel with Tramadol. The medication is mild, if taken in the proper dosage, and he doesn't seem as loopy or out-of-it when he's taking it. He still takes four pills at a time, but that's better than the five or six at a time, and much better than the stronger meds, which leave him either sleeping all the time or in long tracts of doped-up sleeplessness.
When he's busy and our income is enough to support both our household and his medicines, he doesn't need so much. He will still take four pills, but he won't take them all the time, or even every day. Once he doesn't have positive distractions, and has more time to think about the negatives, his pill use ramps up.
(Sorry, he's waking up. Back later.)