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(Message started by: Doug999 on Jan 31st, 2004, 3:50am)

Title: Stadol Nasal spray
Post by Doug999 on Jan 31st, 2004, 3:50am
Hello

I have had bouts with cluster headaches from year to year sometimes skipping a year(45years of this). The only relief that I have known from this excruciating pain is Stadol nasal spray(which I discovered about 10years ago). I have heard of red pepper spray(capiscum/tabasco. Has anyone tried this? Sounds like it would burn terribly. Also: How about lidocaine nasal spray--have never found how to get it or had any Dr perscribe it. Actually its hard to find a Dr who is very up to date on this. I wish there was some remedy that is cheap and can be gotten without going to Dr's who go over the same ground that previous Dr's cover. I feel that my headaches are coming on now, even though they usually hit in April. It causes me fear. I have no vacation time at work and no sick l;eave.

Doug

Title: Re: Stadol Nasal spray
Post by Jimmy_B on Jan 31st, 2004, 7:47am
Dougie,

Stadol NS is definitely "Old School" Cluster Treatment. Have you tried one of the Triptans (Imitrex) or oxygen. Both seem to help most cluster sufferers & don't give you the side effects of Stadol.

Try to get a Doc or preferably a Neuro who is up to date on Cluster Treatment.

Good Luck.

Jimmy

Title: Re: Stadol Nasal spray
Post by gore2424 on Jan 31st, 2004, 8:13am
I agree with you Jimmy_B. Stadol worked for me BUT I took myself off it because was using a bottle every week most of time. I used it as speed when at work without having a bad headache. I was a bad bad boy.
Yes Doug999 you need a neuro. they are more up on cluster headaches and meds for them. Mine is here in Iowa. You will get someone here to answer your questions trust me this site ROCKS when coming to info and friends it cant be beat. Terry gore2424@aol.com

Title: Re: Stadol Nasal spray
Post by Bob_Johnson on Jan 31st, 2004, 8:39am
Not having access to a good doc is the recurring theme here--and the compelling argument for self-education. Suggest you get one of these books:

HANDBOOK OF HEADACHE MANAGEMENT, 2nd ed., Au. Joel Saper, MD, 1999, Lippincott Williams & Wilkins. A highly condensed volume for doctors but good for "advanced" clusterheads who have a grasp of medical terminology and medications. Covers all types of headache with the section on cluster being brief. Sections on general considerations in treatment and on medications are important.

MANAGEMENT OF HEADACHE AND HEADACHE MEDICATIONS, 2nd ed. Lawrence D. Robbins, M.D.; pub. by Springer. $49 at Amazon.Com. This volume is better organized and easier to read for nonprofessionals compared to Saper's book. It covers all types of headache and is primarily focused on medications. While the two chapters on CH total 42-pages, the actual relevant material is longer because of multiple references to material in chapters on migraine, reflecting the overlap in drugs used to treat. I'd suggest reading the chapters on migraine for three reasons: he makes references to CH & medications which are not in the index; there are "clinical pearls" about how to approach the treatment of headache; and, you gain better perspective on the nature of headache, in general, and the complexities of treatment (which need to be considered when we create expectations about what is possible). Finally, women will appreciate & benefit from his running information on hormones/menstrual cycles as they affect headache. Chapter on headache following head trauma, also. Obviously, I'm impressed with Robbins' work (even if the book needs the touch of a good editor!) (Somewhat longer review/content statement at 3/22/00, "Good book....")

HEADACHE HELP, Revised edition, 2000; Lawrence Robbins, M.D., Houghton Mifflin, $15. Written for a nonprofessional audience, it contains almost all the material in the preceding volume but it's much easier reading. Highly recommended.

-----
Also, look over the meds info on left. Many more effective alternatives to Stadol now available. I've had excellent results with Zyprexa as an abortive.
1: Headache 2001 Sep;41(8):813-6  


Olanzapine as an Abortive Agent for Cluster Headache.

Rozen TD.

Department of Neurology, Jefferson Headache Center/Thomas Jefferson University Hospital, Philadelphia, Pa.

OBJECTIVE: To evaluate olanzapine as a cluster headache abortive agent in an open-label trial. BACKGROUND: Cluster headache is the most painful headache syndrome known. There are very few recognized abortive therapies for cluster headache and fewer for patients who have contraindications to vasoconstrictive drugs. METHODS: Olanzapine was given as an abortive agent to five patients with cluster headache in an open-label trial. The initial olanzapine dose was 5 mg, and the dose was increased to 10 mg if there was no pain relief. The dosage was decreased to 2.5 mg if the 5-mg dose was effective but caused adverse effects. To be included in the study, each patient had to treat at least two attacks with either an effective dose or the highest tolerated dose. RESULTS: Five patients completed the investigation (four men, one woman; four with chronic cluster, one with episodic cluster). Olanzapine reduced cluster pain by at least 80% in four of five patients, and two patients became headache-free after taking the drug. Olanzapine typically alleviated pain within 20 minutes after oral dosing and treatment response was consistent across multiple treated attacks. The only adverse event was sleepiness. CONCLUSIONS: Olanzapine appears to be a good abortive agent for cluster headache. It alleviates pain quickly and has a consistent response across multiple treated attacks. It appears to work in both episodic and chronic cluster headache.



--------------------------------------------------------------------------------

Olanzapine has a brand name of "Zyprexa" and is a antipsychotic. Don't be put off by this primary usage. Several of the drugs used to treat CH are cross over applications, that is, drugs approved by the FDA for one purpose which are found to be effective with unrelated conditions--BJ.



Title: Re: Stadol Nasal spray
Post by Little Deb on Jan 31st, 2004, 9:17am
I tried Stadol Nasal Spray.....ONE TIME and NEVER AGAIN!!


Felt it working within seconds....then violently throwing up for 4 hours.........didn't touch my pain a single drop!!!


my experience for those who care......little deb :-/

Title: Re: Stadol Nasal spray
Post by JDH on Jan 31st, 2004, 12:05pm
Hi Doug,
I was prescribed Stadol "back in the day" but all it did was get me real f'd up and it never touched my ch's. Nasty stuff for sure. I used it maybe twice and tossed it. I do know there are people who use it w/success so who knows.  
I've also used Civamide which is a capiscum spray and all it did was burn the shit outta my nose...it didn't touch the cluster's either.


on 01/31/04 at 03:50:11, Doug999 wrote:
I wish there was some remedy that is cheap and can be gotten without going to Dr's who go over the same ground that previous Dr's cover.

Doug


check this out

http://www.clusterbusters.com/

good luck,

Jim



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