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ExplodingEyeBall
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OK... What next?
« on: May 31st, 2006, 9:58am »
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I've had CH for as long as I can remember.
 
I didn't get diagnosed till a couple years ago right when I first  found this place.
 
I tried some of the abortives the Neuro gave me and thought they worked. It was most likely just the end of that cycle.
 
Last year, I didn't really have much of a cycle with the exception of a lot of shadowing on the wrong side of the head.
 
This year, the cycle has come back full force. I still have some of the med samples my neuro gave me but they are outdated and I don't know if they are not working because of that or if they just don't work for me.
 
I tried the Maxalt two nights ago and it did nothing for me, which doesn't surprise me.
 
Last night, I was up at the usual time (1:30 A.M.) and took an Imitrex Sumatriptan 100 MG tab as soon as I got up. I then spent the next hour beating my head, pulling my hair, cursing, rocking, pacing, etc..........
 
Advice????? Should I talk the neuro about getting more samples of the Imitrex tabs or try something else.
 
Hint: I am a needle wussy.  Is there any other (legal) abortive that I can try that doesn't involve an O2 tank or a needle?
 
I don't know how the chronics here can handle it. If I had to go through this every day without a break, I'd be a nut case.
 
Wait.................. I AM a nut case. Never mind.  hammer
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Re: OK... What next?
« Reply #1 on: May 31st, 2006, 10:07am »
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O2 is the safest thing there is out there to abort a hit, and the trex jabs are fast working if you can get past the needle thing.  There is also zomig nasal spray to abort.  Zeprexa (sp) E-Double sears by that as an abortive. Now, here's another question, what are you taking for a preventative?  
 
Need to talk to the Neuro about all of it dear....abortives stop a single attack, it's the preventives that help with the quality of life during a cycle.  I used to hate needles too, but I'll admit when my head raged, a needle was small potatos in comparison.
 
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Re: OK... What next?
« Reply #2 on: May 31st, 2006, 10:07am »
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I know you say you are a needle-wuss. But, have you ever tried the injection? The result made me get over that phobia/discomfort quick.
 
Eventually the idea of the temporary discomfort of a needle in the leg or arm for the quick relief it brought made me get over it. You don't even see the needle really with the injector system. Beats beating your head against the wall.
 
What's up with the aversion to O2?
 
Scott
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Re: OK... What next?
« Reply #3 on: May 31st, 2006, 10:09am »
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How about Zomig nasal? And maybe, um, kudzu as a prevent?
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Re: OK... What next?
« Reply #4 on: May 31st, 2006, 10:09am »
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Sure, Imitrex has the nasal spray.  Abort times can vary but in time they're pretty sure fire if Imitrex works for you.  
  Even my internist seemed to have a good amount of samples that were old, which probably meant he had no one else to give them to so I guess they were lying around waiting for me to ask.  Get prepared.  
« Last Edit: May 31st, 2006, 10:13am by Kevin_M » IP Logged
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Re: OK... What next?
« Reply #5 on: May 31st, 2006, 10:12am »
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Get the nasal version of Imitrex, takes longer to work and you will need to saline first but if you hate needles and O2 so much. Get on a preventative, Verapamil is cheap.  
 
Being Chronic isn't so bad, I had 21 PF days in a row which was nice. I just realized that I have been Chronic for as long as I stopped using Microsoft windows. Perhaps lack of stress is the problem?
 
Opus/Paul
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Re: OK... What next?
« Reply #6 on: May 31st, 2006, 10:14am »
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Or give Zomig nasal a try, I know Jonny sweared by it.  It didn't do anything for me, but YMMV.  Worth a shot...no pun intended Grin
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Re: OK... What next?
« Reply #7 on: May 31st, 2006, 10:39am »
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After last night, I don't know if Imitrex is going to work for me unless the injections are that much different from the tabs.
 
Although I am a needle wussy, I would have let someone shoot me up with a knitting needle last night if they would have told me it would help so I would try the injections.
 
O2??? I'm not chronic andI don't know if it would be worth it to have the O2 bottle and stuff around all the time.
 
Zomig and verapamil sound interesting to me. Any problems with interactions? How are the insurance companies about paying for the stuff?
 
If I could find something that would knock it down from a KIP 10 to a KIP 7 I'd be happy. I could actually sleep a little.
 
Thanks for all of the advice guys and gals..  bow
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Re: OK... What next?
« Reply #8 on: May 31st, 2006, 10:47am »
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on May 31st, 2006, 10:39am, ExplodingEyeBall wrote:

O2??? I'm not chronic andI don't know if it would be worth it to have the O2 bottle and stuff around all the time.
  bow

 
Okay, now you've done it!!  
 
Why do so many so UNDERVALUE there own quality of life here. WORTH IT?
Geez!
 
You deserve it, believe me. Let's say it killed half of the headaches you get in less than 10 minutes. Would that be WORTH IT? Damn right it would. So you have a tank around, take it back after your cycle is over and arrange to get one again when you start getting that feeling.
 
Let's say that out of the other half you get kill 50% of those with injectable imitrex or the nasal inhaler form. Would that be worth it?
 
Think about how many times each one of us has said, "I'd do anything to not have to go through the pain i'm in right now."
 
So get off the "not worth it", or whether it is worth the trouble, or "I'm only episodic and don't have to bear what chronics do". You think chronics think an episodic is a wuss for getting O2? hell no they don't!
 
Make use of the tools available, including your noggan.
 
Scott
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Re: OK... What next?
« Reply #9 on: May 31st, 2006, 11:03am »
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Trex inject works in about 5-10 minutes.  They come in Statdoses which are like Epi-pens, 2 to a pack.  Either 6mg or 4mg.  I have both, I like the 4 more better.  I also have vials, I draw 25 insulin units per dose, about 3mg.  If you work at it, you can get about 2.5 doses out of a vial, YMMV.  The key with either is not to shoot it in the muscle, it is subcue.  I shoot in the stomach, since I have more than enough fat to go around Grin  And don't look at O2 as having to have a tank around.  You don't have to go with one of the big M tanks, get a couple of E tanks.  The relief you get with O2 is well worth the trouble.  Plus, you can always cover your tank with a pillow case when not in use!
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Re: OK... What next?
« Reply #10 on: May 31st, 2006, 11:11am »
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on May 31st, 2006, 10:39am, ExplodingEyeBall wrote:
After last night, I don't know if Imitrex is going to work for me unless the injections are that much different from the tabs.

 
The tabs are for migraines, they will work in a couple of hours to kill a migraine that would normally last 3 days. The injections will work in 10 minutes. Imitrex injections are FDA approved treatment for CH.
 
 
on May 31st, 2006, 10:39am, ExplodingEyeBall wrote:
O2??? I'm not chronic andI don't know if it would be worth it to have the O2 bottle and stuff around all the time. [quote]
 
When you cycle is over just return the regulator and bottles if you rent them. O2 should be the first thing tried. It is safe as long as you stop at 15 min. Right now I get a complete abort in 5 Min on O2.
 
[quote author=ExplodingEyeBall link=board=general;num=1149083883;start=0#7 date=05/31/06 at 10:39:35]Zomig and verapamil sound interesting to me. Any problems with interactions? How are the insurance companies about paying for the stuff?

 
Verapamil is cheap, getting the doc to give you a high enough level is the hard part. All triptans are expensive, O2 is by far cheaper, but some insurances won't cover it.
 
on May 31st, 2006, 10:39am, ExplodingEyeBall wrote:
If I could find something that would knock it down from a KIP 10 to a KIP 7 I'd be happy. I could actually sleep a little.

 
You must mean a Kip3. A Kip 7 means you dance. A kip 10 is pray for death time.
 
Opus/Paul
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Re: OK... What next?
« Reply #11 on: May 31st, 2006, 11:21am »
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on May 31st, 2006, 11:11am, Opus wrote:

You must mean a Kip3. A Kip 7 means you dance. A kip 10 is pray for death time.
 
Opus/Paul

 
Thanks Paul.
 
I would have welcomed death last night. I was to busy beating my head and pulling my hair to dance.
 
I"m going to make an appointment with my Neuro and see about getting the Zomig or the injectors and Verapamil.
 
What is the level of Verapamil that would be best?
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Re: OK... What next?
« Reply #12 on: May 31st, 2006, 11:46am »
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on May 31st, 2006, 11:21am, ExplodingEyeBall wrote:

 
I"m going to make an appointment with my Neuro and see about getting the Zomig or the injectors and Verapamil.
 
What is the level of Verapamil that would be best?

 
A list of meds
 
A good paper on the treatment of CH
 
Max verapamil is 960mg. My doc won't go above 480mg, which is double she has ever prescribed, but she is not a Nero. I would print them both out and take them with you.
 
Opus/Paul
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Re: OK... What next?
« Reply #13 on: May 31st, 2006, 11:47am »
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I too am episodic and have the O2 . I got that advice from this site and believe me I am glad I did. It has aborted quite a few headaches or brought them down to a tolerable level on many occasions. The way these things feel, if I just aborted one ha the O2 would have been worth it.
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Re: OK... What next?
« Reply #14 on: May 31st, 2006, 11:49am »
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You know me, I recommed energy drinks now to everyone.... Grin
 
Seriously, if you think that it could help out, give Red Bull a try. I was sceptical myself, but after being PF ater 5 minutes, I was convinced.
 
Naturally its not an answer to all and like before every treatment it's useful to be careful. But that's my suggestion.
 
Whatever is the next thing you try, I do hope that it works and that you're PF soon! Smiley
 
Best wishes,
Sanna
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Re: OK... What next?
« Reply #15 on: May 31st, 2006, 11:55am »
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on May 31st, 2006, 11:49am, sandie99 wrote:
You know me, I recommed energy drinks now to everyone.... Grin
 
Seriously, if you think that it could help out, give Red Bull a try. I was sceptical myself, but after being PF ater 5 minutes, I was convinced.
 
Naturally its not an answer to all and like before every treatment it's useful to be careful. But that's my suggestion.
 
Whatever is the next thing you try, I do hope that it works and that you're PF soon! Smiley
 
Best wishes,
Sanna

 
 
Hearing that any place else, I'd laugh but because I saw it here, I'll stop on the way home and buy some Red Bull.  
 
If it doesn't work, I can at least make some Jeager bombs after the cycle is over.
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Re: OK... What next?
« Reply #16 on: May 31st, 2006, 11:57am »
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I agree w/Scott....I'm episodic and the first SIGN of CH cycle starting, I am in w/my neuro getting the O2 and the meds....I take maxalt that melts on your tongue...I like it okay, but the O2 saves me from throwing myself off a building...
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Re: OK... What next?
« Reply #17 on: May 31st, 2006, 12:26pm »
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GET OXYGEN!!!!!!!!!!!!!!
 
I also told ya last time that I would talk ya through the jabs!
 
Just Holla atcha boyyyyyyyyyyyy
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Re: OK... What next?
« Reply #18 on: May 31st, 2006, 1:57pm »
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Quote:
" ... I then spent the next hour beating my head, pulling my hair, cursing, rocking, pacing, etc.........."
 
 
When the attacks are painful enough, you'll stick yourself with Imitrex in a second! It sounds like you need the jabs. The pills and sprays do not have the same effect as the jabs.
 
Goodluck and hope you find a good abortive soon.
 
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Re: OK... What next?
« Reply #19 on: May 31st, 2006, 2:44pm »
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O2 12-15 lpm.  Quit beating around the fucking bush and just do it.
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Re: OK... What next?
« Reply #20 on: May 31st, 2006, 8:21pm »
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I'm no fan of needles and I thought I couldn't stab myself with anti-co-agulant, but I did about a dozen times. The stomach/gut proved to be much less painful or scary to use. It's no fun but not as bad as I thought.
 
Just wanted to add my second to Tom K's post.
 
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Re: OK... What next?
« Reply #21 on: May 31st, 2006, 8:31pm »
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on May 31st, 2006, 2:44pm, thomas wrote:
O2 12-15 lpm.  Quit beating around the fucking bush and just do it.

 
Could not have said it better my brother!!  headbanger
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Re: OK... What next?
« Reply #22 on: May 31st, 2006, 9:44pm »
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I am the biggest needle wuss ever..i make my kids hold MY hand when I get a shot or blood drawn.... and I can do it. get the trex shots. you can get itty bitty diabetic needles if you need them.  
 
And since I'm epichronic Grin. I keep those 02 tanks around all the time with extras in the barn. I hardly notice them around my house...they kind of blend in..until i need them. Smiley I am never sorry they take up space during PF time.
 
wouldn't it be nice to get some relief?
 
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Re: OK... What next?
« Reply #23 on: Jun 1st, 2006, 12:03am »
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1.  If you don't get an O2 tank, you are nuts (unless it is way too expensive where you are).
 
2.  Have you tried melatonin?  I had a horrid first 3 days on it BUT since then I haven't had a 7+ since then. (I use 9mg, OTC)
 
3.  I HATE NEEDLES!!!  However, the imitrex jabs are not that bad.  Especially when you need it.  I got samples of it and I use them only when I need to.
 
4.  Maxalt MLT (melt on your toungue) usually nips the bad HAs when O2 doesn't for me.  Takes some time, but for a 7 or so, I don't mind waiting, as long as it works.
 
5. Zomig nasal spray made me sick.  Some like it though.
 
With all this said, isn't it ineresting how many chronics say that being chronic is easier for them because they don't live in fear while most episodic think being chronic would kill them/drive them nuts.
 
I was episodic but this cycle started in November and it seems to be lingering on and on but wihtout 7+s. I'll be honest, I am much happier now than when I thought I only had 8 or so weeks of the 7+ hits.  I know now what to expect and I wont let it alter my life in ANY WAY.  Yes, I stay away from triggers, but otherwise, I am back to living life on my terms.
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Re: OK... What next?
« Reply #24 on: Jun 1st, 2006, 6:24am »
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Yah make an appt.  And personally when I am just having a seriously rough time (chronic here but sometimes are worse than others) and I end up in the ER I always make sure I get IV solumedrol (steroids) and then a 10 day taper of prednisone for at home.  It sometimes is a great break (I still get hit but not as often or as hard) now SOMETIMES is the key word, and I truly do hate the side affects (irritable, my face gets a little swollen, and HUGE appetite) BUT it's worth the break it sometimes gives me.
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