For immediate relief of migraine and neck pain, over-the-counter options like ibuprofen or acetaminophen can help. If neck muscle tension is causing both pain and difficulty sleeping, a doctor may prescribe a muscle relaxant like cyclobenzaprine, which also promotes drowsiness. For chronic cases, prescription medications like amitriptyline can help prevent migraines, ease neck pain, and improve sleep quality. Melatonin is a gentle, over-the-counter option to help regulate sleep. Since these symptoms are often linked, please consult a healthcare professional for a tailored plan and to discuss prescription migraine-specific treatments like sumatriptan. Rest in a quiet, dark room and stay hydrated.