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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> Should I increase O2 dosage?
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Message started by macjob79 on Mar 28th, 2010 at 5:57pm

Title: Should I increase O2 dosage?
Post by macjob79 on Mar 28th, 2010 at 5:57pm
Hi Everyone,

Yesterday my oxygen tanks/concentrator was delivered to my home. The man who delivered it said my prescription was for 2L/m. In reading the information from this site, it seems like this is way too low! He said I shouldn't increase it without doctor's orders. What do you guys think? I will call my doctor tomorrow but I have a feeling tonight will be as bad as any other night. Is it dangerous to increase the dosage on my own?! My concentrator only goes up to 5L/m anyways, and it doesn't seem that this is the optimal tool anyways. Also, I don't have the mask, they gave me the nostril inhalation method. Everything is covered under insurance so it shouldn't be a problem to change equipment.

Any suggestions?

Thanks,
Mike

Title: Re: Should I increase O2 dosage?
Post by vietvet2tours on Mar 28th, 2010 at 6:17pm
Send it back. It's worthless.

     Potter

Title: Re: Should I increase O2 dosage?
Post by Jackie on Mar 28th, 2010 at 6:20pm
Check out the 'oxygen info' button on the left.

You need a minimum of 15lpm and a nonrebreather mask.....

Sorry but what you have isn't what you need.

Title: Re: Should I increase O2 dosage?
Post by Iddy on Mar 28th, 2010 at 7:03pm
What Jackie said!

Do yourself a favor......read the o2 link, you will be glad you did. Self education is so important.

Iddy

Title: Re: Should I increase O2 dosage?
Post by macjob79 on Mar 28th, 2010 at 7:17pm
I did read the link, that's why I was asking. I know it sounds like it wouldn't work, but last night I felt two headaches coming on, and the tanks surprisingly did work. The 3rd one though, not so much, and it was horrible. I will talk to my doctor tomorrow and let her know what this site is saying. Thanks everyone!

Title: Re: Should I increase O2 dosage?
Post by macjob79 on Mar 28th, 2010 at 9:39pm
I have another question. I appreciate any help on this. My tank has the ability to go to 15L/m. Is it safe for me when they prescribed me 2L/m? I just don't know how dangerous it is to assume it's ok.


Title: Re: Should I increase O2 dosage?
Post by NovellRed on Mar 28th, 2010 at 10:03pm
It's not going to hurt you. Max that baby out @ 15 lpm

Title: Re: Should I increase O2 dosage?
Post by Dallas Denny 62 on Mar 28th, 2010 at 10:42pm
For sure MAX it out....you got really lucky as most folks who get a low flow script only get a 8 lpm regulator....crank it up and let the magic begin!!!

Dallas Denny

Title: Re: Should I increase O2 dosage?
Post by Skyhawk5 on Mar 28th, 2010 at 10:54pm
I agree with the others but the nasal canula is a probelm. You can't get 100% O2 from them, they let in outside air.

In a pinch you can put the tubes in your mouth, clamp down on it and breathe only pure O2, hold your nose to block outside air.

Best of Luck,  Don

Title: Re: Should I increase O2 dosage?
Post by Guiseppi on Mar 29th, 2010 at 12:31am
Hey welcome to the board! You're on the right track with the 02, but kinda driving a fixer upper for now! ;)

For the 02 therapy to work, you've gotta get 100% oxygen into your lungs. No outside air, no exhaled air. You will be amazed at how fast and complete an abort you'll get when you crank up the 02.

I use a demand regulator, similar to a SCUBA set up. Where I suck right off the mouth piece, getting pure 02, exhale and go at it again. You can accomplish the same thing using a Non Re Breather Mask, (critical, the nasal canulas and re breather masks are inefficient at getting you the concentration of 02 you need) , and a high flow regulator, at LEAST 15 LPM. Read the oxygen info link on the left and print out the info for your doc.

Good luck!

Joe

Title: Re: Should I increase O2 dosage?
Post by Batch on Mar 29th, 2010 at 1:01am
Order one of the $27.50 O2PTIMASK™ kits from the CH.com store tab at the left.  They're great and well worth it.

Title: Re: Should I increase O2 dosage?
Post by Megan102 on Mar 29th, 2010 at 1:01pm

macjob79 wrote on Mar 28th, 2010 at 7:17pm:
I did read the link, that's why I was asking. I know it sounds like it wouldn't work, but last night I felt two headaches coming on, and the tanks surprisingly did work. The 3rd one though, not so much, and it was horrible. I will talk to my doctor tomorrow and let her know what this site is saying. Thanks everyone!


My husband is new to the O2 and the low rates from a machine worked for him in the beginning.  But it started taking longer and he wasn't getting as much relief.  He's now set up with a tank up to 15lpm and a nrb mask.  He is getting relief for now.  It's still not the ideal setup, but we're working on that.

My recommendation is to get the right setup now.  You can always use the lower flows if they work, but will be prepared if they quit working.

Good luck!

Title: Re: Should I increase O2 dosage?
Post by Guiseppi on Mar 29th, 2010 at 2:16pm
Yeah I should have mentioned there are a few on the board who can abort at lower rates, I think there is one guy who aborts at 7 LPM.

But like Megan said, get set up with at least 15 LPM NOW. That way if the lower flow rate stops working, you need merely crank up the volume and try again. Save you new appointments as we all know what a pain in the butt it can be to get an appointment this century when you're hurting!!!!

Joe

Title: Re: Should I increase O2 dosage?
Post by Callico on Mar 29th, 2010 at 11:37pm
You have gotten some good advice already.  I would echo Joe and Batch on this, particularly Batch on the O2ptimask.  It makes a tremendous difference, but at 2lpm it won't even blow up the bag.

My suggestion is when you go see your Dr to ask for a 25lpm script.  If you don't need that much you don't have to use it, but when you find you need it it is a lot easier than fighting the battle all over again.  Some will tell you you can't breath it that fast, but I can tell you when getting hit with an upper level Kip I'll suck the bag flat and be gasping to get more.  I can also tell you that since I got the O2ptimask and 25lpm I can kill a hit within 5-8 minutes as opposed to 15+ at 15lpm.

Jerry

Title: Re: Should I increase O2 dosage?
Post by macjob79 on Mar 30th, 2010 at 12:13pm
This is all information that I couldn't get anywhere else. Thank you so much for everything! New equipment is on its way with a minimum of 15lpm and a nrb mask! I can't wait. Well, I can wait actually. It was wierd when I called my doctor and basically told her what she needed to prescribe. She seemed pleasantly surprised and happy to oblige. I'm the only patient she has ever had with clusters and she's been in practice for over 20 years. Maybe this will help someone else in the future if she's ever their pcp.

I can't thank you all enough, especially Batch, your help is so appreciated.

-Guy who has gone 2 nights (knocking on wood) in a row with uninterrupted sleep!  ;D

Title: Re: Should I increase O2 dosage?
Post by Brew on Mar 30th, 2010 at 12:18pm
One thing to check when you get the equipment - make sure they don't give you a PARTIAL rebreather mask (one that has holes on the one side that don't have a diaphragm to cover them on inhalation). If you do get one and the driver doesn't have a full non-rebreather (diaphragms on both sides), you can tape over the holes for the time being.

Until you order the O2ptimask from the ch.com store, that is. ;)

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