Hello All!

       I have suffered with CHs for about 17 yrs. I am 34 years old and engaged to be married.  We do not have children but would like to have at least one.  My cycles usually come every 24 - 36 months and last for 2 or 3 months.  I wanted to know how any ladies out there have dealt with your condition while pregnant? Did your headaches stop? Have any considered not having children?  I am nervous about the possibility of becoming preg. in the future abd being hit with a cycle..

As I was preparing to post this group of reports I realized how old some of them were. A quick recheck on PubMed (the major source of medical materials) it was striking that there was nothing new on the subject. I cannot believe that people don't attend to this question and so can only assume that headache + pregnancy is not an issue of such significance that it gets much attention.
---------------



I checked drug info on medscape.com and Olanzapine is o.k. for limited use in pregnancy.  

Headache 2001 Sep;41(: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.
==============================
OTC meds are not very helpful with cluster, as you know, but may be one of the few options available to you. Some folks have good luck aborting/easing an attack by applying an ice pack to the pain site. Others find very hot water also works; others have used a hair dryer blasting the pain site works! No predicting; just try.
=============================

Re. special needs of women. Both of these in HEADACHE QUARTERLY, Vol X, #2, 1991: "Women and headaches:a comprehensive approach", p. 31-36.  "Special considerations in the management of headache in women", p. 37-43. The last one focuses on role of hormones in headache and how medications must be altered.
===============================
J Neurol Neurosurg Psychiatry. 2006 Jan 11  


Cluster headache in women - relation with menstruation, use of oral contraceptives, pregnancy and menopause.

van Vliet JA, Favier I, Helmerhorst FM, Haan J, Ferrari MD.

Medical Centre Haaglanden, Netherlands.

Abstract. In contrast to migraine, little is known about the relationship between cluster headache and menstrual cycle, oral contraceptives, pregnancy and menopause. We performed a population-based questionnaire study among 224 female cluster headache patients, and studied the possible effect of hormonal influences on cluster headache attacks. For control data, a similar but adjusted questionnaire was sent to healthy volunteers and migraine patients. We found that menstruation, use of oral contraceptives, pregnancy and menopause had a much smaller influence on cluster headache attacks than in migraine. Cluster headache can, however, have a large impact on individual women, for example to refrain from having children.

PMID: 16407458 [PubMed - as supplied by publisher]

Bob Johnson wrote on Nov 7^th, 2008 at 2:42pm:


Thank you!  There seems to be so much that is not know about CH.  At least there's something for attacks during pregnancy, IF a cycle occurs.

Stop tempting me to get pregnant just to keep the clusters away!

>_>;; I'm kidding of course. It would be interesting to see the statistics on this...

Good question!  I wasn't in cycle at the time and yes, I did take hormone replacement therapy for about 20 years after.  It has been three years since I quit.  It was just Premarin, not the combination of the two hormones.  My doc said the combo might cause me to have headaches.  Interesting.  I had forgotten about that.