Finally saw the doc today, in person, real and live.  Ya gotta love that, especially since my doc is so down to earth.  (She had been working on stuff with my every day on phone call this past week).  I walked out with Verapamil (which I started immediately).  I also have a script for a prednisone taper if I should need it.  Told her I don't do so good on prednisone as it makes me a little crazy.  We decided I could hold off on that until I get a little sleep and think about it, as long as I started the Verapamil.  Walked out with more Imitrex waiting at the pharmacy.  She also gave me a script for and anti-anxiety med to sleep.  I'm on the fence about that, but considering I haven't slept for 2 weeks ......... maybe I do need it. 

I also got some help from a friend with a high-flow regulator.  Smooches to you !  It's in the mail.  Had to call Apria and switch out some tanks, but they will be coming on Friday with the tanks to fit the regulator. 

All in all, a really good day.

Unless you get hit badly at nights, 0.5 mg of Melatonin 30 min before bedtime can work very well for a good night sleep. Also works for me whenever I am on a pred taper and am battling insomnia as a result.

Glad to hear you have all your arsenal in place.

Good luck.

Regrettably Verapamil will take some time to reach therapeutic levels. Up to 2 weeks. It is not known to aggravate CH when taken. The fast-acting formula is preferred by many here over the sustained release (SR) formula.

Until your O2 arrives and for tomorrow, get yourself some redbull or other energy drink (taurine / caffeine combo). When consumed at the very onset of the attack it can really help lower the kip level and in some instances even abort.

Some people who get hit badly during the night report benefits from Melatonin at dosages of 9-10 mg. May be worth researching here to see if its for you.

Hang in there buddy!

Oh no that's a rotten sounding rager you have going there - very sorry to hear that.

The first and last time I tried a 1/3 dose of Imitrex it didn't work and I got hit with a 4 straight hour slammer that nothing would quell, so I have an idea of where you're coming from.

In my case I was a little late getting to that 1/3 dose, so I've never known whether it was because I didn't catch the attack at the onset, or whether I require 1/2 doses, but I've stuck with 1/2 doses since, which have luckily always worked for me.

Melatonin didn't help me, but clearly there isn't a one size fits all approach, and I've seen several people report success with it - actually sleeping thru the night when in cycle - if you can imagine such a thing !