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Cluster Headache Help and Support >> Cluster Headache Specific >> verapamil dosage? http://www.clusterheadaches.com/cgi-bin/yabb2/YaBB.pl?num=1227193747 Message started by jberzins on Nov 20th, 2008 at 10:09am |
Title: verapamil dosage? Post by jberzins on Nov 20th, 2008 at 10:09am
i had been without this hell for close to three years. about a month ago it started again, not sure why. anyways my neurologist has me taking about 140mg verapamil a day. he also has me on oxygen setting is 8 and if insurance feels nice i get 9 maxalt a month. im going to see the doctor again today. hope to get him to up my oxygen regulator. question is should i try to up the verapamil as well, i think i am getting to the end of this cycle. at least that is what i keep telling myself.
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Title: Re: verapamil dosage? Post by Kevin_M on Nov 20th, 2008 at 10:43am Quote:
It's good sometimes to keep a log or diary of hits that can be shown to the doctor for decisions. If you don't feel any side effects and the hits are still regular, mention to your doc the verapamil at 140 doesn't seem to be sufficiently effective and would like to see if it can, at 140 it's unlikely to be. But if your cycle is becoming less active at this time it would be hard to tell, however a one month cycle would be a short one. In any event, do express how often you are having to abort and the pain level, prevention would be preferable. My doc wrote 8Lpm also but the oxygen company person was familiar with clusters and located me a 15. May not happen that way but regulators are easily obtainable. |
Title: Re: verapamil dosage? Post by Kevin_M on Nov 20th, 2008 at 11:43am
Thanks once again, Bob. If effective, this is basically the deal with verapamil.
Bob Johnson wrote on Nov 20th, 2008 at 10:55am:
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Title: Re: verapamil dosage? Post by jberzins on Nov 20th, 2008 at 12:04pm
he has suggested adding lithium to the equation, any opinions on that?
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Title: Re: verapamil dosage? Post by Kevin_M on Nov 20th, 2008 at 6:03pm Quote:
First impression is, the application of verapamil was not stepped anywhere from the first dosage of 140 to explore its capability with you. Reiterating from Bob's post: Quote:
Your feedback to the doc concerning effectiveness and side effects should direct this type of gradual application, objective: to find. Responses from experience with lithium can be helpfully added if the thread name were perhaps extended to include lithium so that those who know and would contribute best will see it. *** there's a lithium thread going now on the meds and treatment board. |
Title: Re: verapamil dosage? Post by Cathi_Pierce on Nov 20th, 2008 at 7:06pm
J-
In most cases, Verapamil at 160 is quite low, but there is no formula that works for every CH'er. Generally, a neuro will start low and titrate until the appropriate dosage for that individual is found. There are a few here who have Lithium added to the Vera, and at least 1 who only uses the Lith. Certainly it is something to bring to your Neuro's attention. Please keep us posted, and PF to you tonight- Cathi |
Title: Re: verapamil dosage? Post by jberzins on Nov 21st, 2008 at 8:51am
he has bumped up my vera i will see how it goes.
thanks for all your help. |
Title: Re: verapamil dosage? Post by kevmd on Nov 21st, 2008 at 11:59am
I can take up to 1200 mg verap a day. When things start feeling a bit more funky than normal, I add litium or use it to replace verap. It has helped alot. Keep a log. You may see better results in about a week as your higher dose sets in
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