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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> Has anyone done BOTOX injections for CH prevention
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Message started by K W C on Jun 16th, 2012 at 9:58am

Title: Has anyone done BOTOX injections for CH prevention
Post by K W C on Jun 16th, 2012 at 9:58am
I was picking up my MAXALT and SUMATRIPTAN yesterday and started talking to one of the pharmacists that is familiar with my history of CHs. She told me to look into BOTOX injections for preventative therapy.  I've been searching this morning but have only find articles concerning migraines. Have you heard of this treatment for Clusters? Has anyone tried it?    Thank you all for the wealth of information that is shared on this site.
My thoughts and prayers are with each and everyone one of you.
Kevin

Title: Re: Has anyone done BOTOX injections for CH prevention
Post by Guiseppi on Jun 16th, 2012 at 10:04am
A recent post from Bob, our resident research guru:

Handb Clin Neurol. 2010;97:217-32.
Botulinum neurotoxin in the treatment of headache disorders.
Mauskop A.
Abstract
Botulinum neurotoxin (BoNT) has been in clinical use for the treatment of headaches for over 15 years. Recent double-blind placebo-controlled trials have confirmed the efficacy of BoNT type A (onabtoulinumtoxinA, Botox) in the treatment of chronic migraine.

THE EFFICACY OF BONT IN THE TREATMENT OF EPISODIC MIGRAINE HEADACHES, CLUSTER HEADACHES, AND CHRONIC TENSION-TYPE HEADACHE (TTH) HAS NOT BEEN EXAMINED IN LARGE CONTROLLED TRIALS.

Presumed mechanisms of action of BoNT in headache disorders are the reduction of afferent input induced by muscle relaxation and inhibition of the release of neurotransmitters, such as glutamate and calcitonin gene-related peptide, from peripheral sensory nerve terminals. Over 20 years of extensive clinical experience has established a remarkable safety for BoNT, particularly type A and specifically Botox or onabotulinumtoxinA, which has been used much longer and more widely than any other form or serotype of BoNT. Because BoNT is a biological product, the safety and efficacy of one BoNT formulation cannot be extrapolated to a different one, even of the same serotype.

Copyright © 2011 Elsevier B.V. All rights reserved.

PMID:20816423[PubMed

And a paper Batch posted on the same topic:

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Hope this helps, been a mixed bag on people who tried it. Worked wondres for some, worthless for others. Ahhh.. the nature of CH! ;D

Joe

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