Imitrex injection would be the fastest abortive and you can discreetly keep it in your pocket.  Excuse yourself if you feel shadow then go to the bathroom and pain should hopefully diminish before you return to meeting.  Just make sure you know how to use it before you need to.  Good luck on your promotion

I don't recall if you mentioned so forgive an old guys brain....but does your doctor have you on any kind of a preventative medication? One you take daily while on cycle to limit the number and intensity of your hits? Verapamil is popular, I use lithium, topomax is also mentioned a lot.

Joe

I'm with Beth on this one. There are pill form triptans that are longer lasting than imitrex. Frova and Amerge are two of them. See if your doc has any samples.

I get daytime CH every cycle, I have found that while at work if I can catch them in time I can just take an imitrex pill( I can feel a slight change in my shadows before a true ch hits most times) but for the ones that come on fast and are the most painful only the injection seems to work.  I am now having to take O2 to work after today. 
I am at a new job for just over a yr and haven't had a cycle until last week.  My supervisor saw me today and I had to leave work as I didn't take the injection in time and it wouldn't go away.  Either I had by DH come get me or she was calling 911.  I opted for hubby to take me home to my O2. He knows more about CH than the paramedics here do.

I wouldn't recommend this on a regular basis but I have taken Imitrex essentially as a preventative.  During a cycle, it will usually get me 8 to 10 hours of relief before my headache comes back.  I have taken a dose of Imitrex before my headache actaully came back and prolonged the relief period.  Could have been coincidence that the headache didn't spring back that particular time but it might buy you the time you need to get through your meeting.

tammy1 wrote on Feb 3^rd, 2010 at 3:33pm:
This is one time I would seriously consider using the Imitrex tablet (50 mg).  Take it when you're driving to the meeting.  This should cover you throughout the meeting.  I use to get at least 4 hours relief from that in the past.  I use injections now, but you'd obviously have to excuse yourself if you need to do that and then wait it out till the pain subsides which could be 3-5 minutes.

I hate to say this but I think I am going to find a good excuse not to go to the meeting, uh staffing issues or something not reflecting my health.  I have not been sleeping well either and quite frankly it shows. I am scared of an attack and I also dont want people talking about how terrible I look (ego). I have made a list of the meds you guys recommend and will ask my doctor if he has any samples or what he thinks I should try. He was out of the office yesterday.  He is a very kind doctor and I know he would like to help me, but he did have to get a book out to look up what to give me when he gave me the cafergot.  I have Naproxen he gave me too, 2 a day and I think that is suppose to help something too. 

In the meantime, I found coffee helps so I make a pot and keep it in a carafe on the counter so I can drink some at night right away, I then go outside in the cold and pace around the house (the cold air helps distract me from my head pain) - then I go in the house exhausted and sleep for an hour and then do it all again -this is the night time ritual,  the day problem is new and I am noticeably affected (as you all know there is no smiling through a cluster).  Thanks for all your advice.

Still hoping they just go away!!!!!!!!!!!!!!

Quote:


You can wish in one hand and shit in the other - see which one fills up first.

Treat it or be a victim.

An Imitrex injection has me feeling as though I can pretty go on with my day in less than 5 minutes. Have your doctor get you a prescription if you're going to deal with daytime hits and have limited options. Mind you, I don't know if I'd like to be presenting in front of a group on minute 6 but I can easily sit in a room with others and fade into the group.

Thank you all for your advice and help. 

Maxalt is absorbed in the gut, not through the lining of the mouth, and it takes about 25 or 30 minutes to get enough into your system to start having a positive effect. The fact that you were feeling much better in 5 minutes was not due to the rizatriptan.

I tell you this only so that you're expectations aren't quite as high next time. It works well for many people, but dissolving tab is designed more for convenience than quick delivery. You can take one anywhere, and without a glass of water.

Zomig nasal.....