Sorry, no great answer here. I wake 1 hour before i need to be functional. 2 if i need to go somewhere. Make as much preps before bed. Sleep in clothes if necessary. One plus is that my system still prefers caffeine, some do and some don't. I treat my most severe nausea with hydrocodone then Imitrex as migraine is usually the main component adding to the fire.

I have found for the nausea portion to eat a small granola bar, or something equivalent. I know it sounds counter intuitive, but I get nauseous from having an empty stomach among other things. I can't help with the pain too much, but hot pads in the morning help me sometimes.