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Title: I need help from the collectors ... Post by Ueli on Oct 8th, 2003, 10:23pm ... of web links. A friend of mine has troubles with the bean counters who won't pay for more than 2 Imitrex shots a day on the ground that more is unhealthy (read too expensive). I know only of the article by Centonze et.al. (quoted in the OUCH library (http://www.clusterheadaches.org/library/medications/imitrex_rebound.htm#1)) about clusterheads surviving much higher doses without harm. Does someone know a link to similar arguments? Any ammunition in the forthcoming legal battle with the penny pinchers would be welcome. :) PFNADs Ueli |
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Title: Re: I need help from the collectors ... Post by Pinkfloyd on Oct 9th, 2003, 1:14am on 10/08/03 at 22:23:09, Ueli wrote:
I know one doctor that was giving himself 10 shots a day. Nice to have a closet full of samples! I could have sworn I saw an article that came out, other than the one you mentioned but haven't found it yet. I will keep looking. You may want to take a look at this "googled" post that gives some tips in this area. You may also want to write to the author of the post, Teri Robert of About.com and see if she can help. She is one hell of an advocate. Tell her BobW from ashm sent ya. http://groups.google.com/groups?hl=en&lr=&ie=UTF-8&safe=off&threadm=vi89656tptir66%40corp.supernews.com&rnum=5&prev=/groups%3Fas_q%3Dimitrex%26safe%3Doff%26ie%3DISO-8859-1%26as_ugroup%3Dalt.support.headaches.migraine%26as_drrb%3Db%26as_mind%3D12%26as_minm%3D5%26as_miny%3D2003%26as_maxd%3D8%26as_maxm%3D10%26as_maxy%3D2003%26lr%3D%26num%3D100%26hl%3Den Hows THAT for a link!! LOL PF |
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Title: Re: I need help from the collectors ... Post by Bob_Johnson on Oct 9th, 2003, 5:20am : Headache. 1996 Jun;36(6):389-91. Use of high sumatriptan dosages during episodic cluster headache: three clinical cases. Centonze V, Polito BM, Attolini E, Cassiano MA, Sabba C, Ricchhetti G, Bassi A, Cavazzuti L, Albano O. Unit for the Study, Diagnosis, and Treatment of Headaches, Internal Medicine Clinic, Universita degli Studi, Bari, Italy. The authors describe three patients with episodic cluster headache whose attacks were all treated with subcutaneous sumatriptan. The patients described had a high frequency of attacks (more than two per day); therefore, far higher dosage of the drug was taken than commonly used in cluster headache. The patients did not experience any particular side effects, neither during the treatment period nor on abrupt withdrawal of the drug. Moreover, neither tachyphylaxis nor addiction were observed. The authors point out both the efficacy of sumatriptan, confirmed in all the treated attacks, and its safety even at higher dosages than recommended. PMID: 8707559 [PubMed - indexed for MEDLINE] |
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Title: Re: I need help from the collectors ... Post by catlind on Oct 9th, 2003, 6:23am Ueli, here is the link for the imitrex products and glaxo's own information on them. No where in the specific product information does it say that it is unhealthy to take 2 shots a day for extended periods. http://www.gsk.com/products/imitrex_us.htm And here's a link for an abstract on a study on trex overuse, no indication of adverse events: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11062845&dopt=Abstract Cat |
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Title: Re: I need help from the collectors ... Post by UnsolvedEquation on Oct 9th, 2003, 7:22am I don't need a link to tell me I can survive at higher doses. Been there and done that. Average of 3 - 5 a day for years, but been as high as 8 a day. No side effects. Didn't even raise my BP and worked everytime ! |
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Title: Re: I need help from the collectors ... Post by brain_cramps on Oct 9th, 2003, 7:43am Funny. The other day I read about someone that was saying they had been addicted to Amerge in the past. After a quick search for "triptan" and "addiction" or "tolerance" I found the following... (Note that these have to do with Migraine sufferers. I'd be pretty surprised if they had different patterns of addiction/tolerance.) Blue Cross Limits Access To Meds Part I Blue Cross Blue Shield of Florida Sets Unacceptable Limits on Triptans Coverage http://tinyurl.com/qb2n A couple of studies on long-term and daily triptan use by Robbins Headache Clinic http://tinyurl.com/qb3b http://tinyurl.com/qb3g and another one... http://tinyurl.com/qb3l You can draw your own conclusions. grant 8) |
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Title: Re: I need help from the collectors ... Post by don on Oct 9th, 2003, 10:15am Another shining example of why we need to get the drug companies to label specifically for CH. Imitrex is labeled for Migraines and that allows the bean counters to get away with this shit. Since when does a bean counter have the medical knowledge to know what is healthy and what is not? |
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Title: Re: I need help from the collectors ... Post by vig on Oct 9th, 2003, 10:30am I'm never sure which way my finger should be pointing... at the drug companies or the insurance companies. I know I couldn't get my prescription for 4 Imitrex shots per month refilled last night... or my 6 nasal sprays per month. Walgreens said I can buy them on my own if I want... $300 for the four shots. OUCH! |
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Title: Re: I need help from the collectors ... Post by ZAIRA on Oct 9th, 2003, 1:06pm on 10/09/03 at 10:30:51, vig wrote:
In italy we don’t pay any insurance because Health is public (State)........... We can get Imitrex we need paying 2€-2$ a box (i.e. 2 shots)......... it is not difficult to get it, it is sufficient that the Neuro certifies that you have CH......... if you need I’ll send some Imitrex (shots or nasal sprays).... I have just helped someone of you in the past... so NO problems....... just let me know! ;) Zazi :) |
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