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When to use imitrex injection? (Read 6652 times)
wimsey1
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When to use imitrex injection?
Sep 16th, 2010 at 7:38am
 
OK, I've got a question. I've seen some posts that sort of address this, but it's a bit like Joe's on Melatonin. When do you decide to dose with a trex injection? Is it when a CH starts? Is it when you get to KIP8+? Or is it a time scale when usual abortives haven't aborted in say 10 minutes?

Just curious what you're experiences are. For me, I dose after a combination of events: KIP 7-8+, and after 10 minutes when O2 and Monster don't abort it.

How about it people? What's your take on this? lance
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Re: When to use imitrex injection?
Reply #1 - Sep 16th, 2010 at 7:59am
 
I have never jabbed myself with imitrex, and I most likely never will.
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Re: When to use imitrex injection?
Reply #2 - Sep 16th, 2010 at 8:24am
 
Brew wrote on Sep 16th, 2010 at 7:59am:
I have never jabbed myself with imitrex, and I most likely never will.


I have never been down that road either,I use the nasal spray,my insurance covers 80% of the spray.
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Re: When to use imitrex injection?
Reply #3 - Sep 16th, 2010 at 8:42am
 
Hubby uses his only as a last resort since he is only alloted a few each month.  Tries to ride it out until he can't take it anymore.  Thanks to this website we've learned SO MUCH about additional abortives.  (Red Bull Works!...who knew?) If he's hit at work with no shot, I told him to slam down a red bull and go to the maint. dept. and huff on the o2 welders rig.  Worked like a charm, disaster avoided!  I'm sure it was also due to the higher flow rate of the o2.  We also just got our high flow regulator and will be hooking that bad boy up today (THANKS MARC, and everybody else, for sharing all your O2 knowledge so others don't have to continue to suffer!)

Quick note to Newbies like me...these people are AMAZING...I have learned more the past two months than any dr has told us in the past 20 years!!  They've gotten us through one of the most difficult cycles.  Read, read, read and it will change your life and you WILL be able to cope. 

Sorry off track a little but wanted to say THANKS to everybody too (especially to my CH angel, she knows who she is)!!  You guys are AWESOME!   Smiley


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Bob Johnson
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Re: When to use imitrex injection?
Reply #4 - Sep 16th, 2010 at 9:06am
 
Putting questions of cost aside, the sooner you inject the more dependable and fast is the response. We have had too many folks complain about waiting until an attack was well developed before injecting and, therefore, not getting good relief.
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Re: When to use imitrex injection?
Reply #5 - Sep 16th, 2010 at 9:21am
 
I only use Trex if I'm away from my oxygen. I hate how it makes me feel, the snakes up the back feeling...(I inject in the buttocks)....and that weird disjointed feeling afterwards. I also am concerned about the potential for extending cycles. That being said when I'm caught away from the 02, I stab as soon as I get that "Oh sh%$ here it comes" feeling.

Joe
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Re: When to use imitrex injection?
Reply #6 - Sep 16th, 2010 at 9:34am
 
When I did used Imitrex.  I used the Imitrex tip on the left and I did it as soon I had the first little tingle.  The sooner the better.  If you have done O2 and the Red Bull, I wouldn't even bother because in some cases, if you use trex too late, it won't work.  It's all about the "timing".
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Re: When to use imitrex injection?
Reply #7 - Sep 16th, 2010 at 11:13am
 
Sooner the better, I say.  If you wait it takes longer to work.
The tip on the side is old!  Get vials and insulin needles people.
The auto injector needle is like a roofing nail and there is left
over air in there that will give you a burning sensation.

Can't even feel the 31guage needle going in.  Make sure
you get 8mm 1/4" needles no longer, that will cause other problems.

Also I have been using very little these days and it is till
effective for those on tight budgets.  Let me know if you
have any questions!

Hope that helps!

Peace,
Boski

More than a few hundred jabs this cycle alone.  Not proud!!
Just the facts of my life with my buddy along for the ride.
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« Last Edit: Sep 16th, 2010 at 11:17am by boski »  
 
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Re: When to use imitrex injection?
Reply #8 - Sep 16th, 2010 at 11:27am
 
boski wrote on Sep 16th, 2010 at 11:13am:
The tip on the side is old!  Get vials and insulin needles people.
The auto injector needle is like a roofing nail and there is left
over air in there that will give you a burning sensation.

The tip is for people who cannot, for whatever reason, obtain vials and syringes.
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Re: When to use imitrex injection?
Reply #9 - Sep 16th, 2010 at 12:40pm
 
boski wrote on Sep 16th, 2010 at 11:13am:
More than a few hundred jabs this cycle alone.  Not proud!!
Just the facts of my life with my buddy along for the ride.

Have you attempted oxygen?

Maybe that excessive use of sumatriptan is the reason your cycle is so long due to rebound HA's.
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Re: When to use imitrex injection?
Reply #10 - Sep 16th, 2010 at 5:50pm
 
Anything under a 5 Kip I generally skip the trex and fight my way through unless I am at work then I go for the trex before it escalates to a 10 kip scale tipper.

My Neuro told me to use it at the 1st signs of a CH hit, but having dealt with this for several years and a not so helpful ins. co. I try to conserve on my trex.

Speaking of Trex... 
I think I had an Imitrex Christmas in September!!! 
Doc wrote script for the new SUMAVEL DosePro needles injectors at 6 per mo. the ins. co. didn't gripe and filled it (Whoohoo 6 shots per mo. up from 4 that was allowed by ins before.) Now for the bonus and here's where the Christmas in Sept. part comes in to play... the pharmacy (accidentally?  Huh ) filled 12 shots and the ins. didn't catch it and allowed it.  So Barring some really bad days I may have a stock pile for a bit  Cheesy Cheesy   Oh Ya and with ins. I only paid 15.00 for all 12 shots  Grin 
We all know this won't be happening again, maybe some good karma is paying off  Cool
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Re: When to use imitrex injection?
Reply #11 - Sep 16th, 2010 at 6:05pm
 
Yeah, I do use O2 when I can, but not easy all the time. I cant
do 02 at night I fall asleep on O2 or I get no sleep. 

I seem to have a visit every REM cycle I fall into.  Driving me nuts.

Working on 5 months so far this cycle.  Rebounds, how can I tell?
Aren't rebounds closer in time to the original? On the meds now
most of the hit are when and if I hit REM sleep.  I never
could tell a rebound, really they all feel like crap.....
I'm not really getting them one after the other now  but I
do get an s load the first few months 6 - 8 a day.  that adds up quickly. 

But I guess it could be rebounds, not sure.
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boski
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Re: When to use imitrex injection?
Reply #12 - Sep 16th, 2010 at 7:19pm
 
Brew wrote on Sep 16th, 2010 at 11:27am:
boski wrote on Sep 16th, 2010 at 11:13am:
The tip on the side is old!  Get vials and insulin needles people.
The auto injector needle is like a roofing nail and there is left
over air in there that will give you a burning sensation.

The tip is for people who cannot, for whatever reason, obtain vials and syringes.


Hey Brew:
It should be updated.  You can cut the plunger in the pen
and make 3 pens.  Much better for squeamish people.

Peace,

Boski
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Re: When to use imitrex injection?
Reply #13 - Sep 16th, 2010 at 7:42pm
 
boski wrote on Sep 16th, 2010 at 7:19pm:
The tip is for people who cannot, for whatever reason, obtain vials and syringes.Hey Brew:
It should be updated.  You can cut the plunger in the pen
and make 3 pens.  Much better for squeamish people.

Peace,

Boski

I'm the wrong person to tell - I've never used the stuff.

Send a note to either DJ or one of the moderators.
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Re: When to use imitrex injection?
Reply #14 - Sep 16th, 2010 at 7:44pm
 
While we're on the subject of when, how about where?  I'm curious and tried to search it but came up empty.  I thought I read where some injected into fatty areas, like the belly.  My husband has been injecting into his arm all these years.  Is any area faster/better than another?  Thanks.
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Re: When to use imitrex injection?
Reply #15 - Sep 16th, 2010 at 7:52pm
 
his wife wrote on Sep 16th, 2010 at 7:44pm:
While we're on the subject of when, how about where?  I'm curious and tried to search it but came up empty.  I thought I read where some injected into fatty areas, like the belly.  My husband has been injecting into his arm all these years.  Is any area faster/better than another?  Thanks.

I usually us the thigh, a jab, and walk around gets it going quickly.
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Re: When to use imitrex injection?
Reply #16 - Sep 17th, 2010 at 7:27am
 
Thanks for all the replies, guys! And Ginger, here's a great big whoohoo for you, too! I hope you don't need any of them anytime soon. God bless and pf days and nights to us all! lance
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Re: When to use imitrex injection?
Reply #17 - Sep 17th, 2010 at 7:52am
 
JustNotRight wrote on Sep 16th, 2010 at 7:52pm:
I usually us the thigh, a jab, and walk around gets it going quickly.


Interesting.  My doctor told me inject at the first sign or it wouldn't work at all & the higher the better- when I was trying it I used my upper left arm.  It's not worth it for me-- terrible rebounds for three days.
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Re: When to use imitrex injection?
Reply #18 - Sep 17th, 2010 at 7:57am
 
Katherinecm wrote on Sep 17th, 2010 at 7:52am:
JustNotRight wrote on Sep 16th, 2010 at 7:52pm:
I usually us the thigh, a jab, and walk around gets it going quickly.


Interesting.  My doctor told me inject at the first sign or it wouldn't work at all & the higher the better- when I was trying it I used my upper left arm.  It's not worth it for me-- terrible rebounds for three days.

Would be nice if all doctors could reach a firm consensus on when to use shot and for that matter the best treatment of CH.   Roll Eyes 

I used to use my arms too but the soreness from frequent use was an added aggravation I didn't need or want, so I use the thigh it works pretty well.
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Re: When to use imitrex injection?
Reply #19 - Sep 17th, 2010 at 8:28am
 
I stick my right shoulder at first sign, and that means ASAFP. Good results, and the resulting bruised "pin cushion" of a shoulder doesn't really bother me enough to think about changing locations.
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Re: When to use imitrex injection?
Reply #20 - Sep 17th, 2010 at 9:02am
 
After all this time I'm still a wreck about the idea of giving myself a shot. It's comical as hell, I bend over, push the stat pen against the right buttocks cheek, screw my face all up, close my eyes and deliver the shot! It's resulted in a cell phone in the toilet on one occasion! Grin I admire those who can use the imitrex tip but I'm just not there yet! Roll Eyes

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Re: When to use imitrex injection?
Reply #21 - Sep 17th, 2010 at 11:17am
 
Joe:

That's cause that thing is like a roofing nail!!!

I have shot my calf, thigh, tummy and arm all seem to get results. 
Not sure if I noticed any speed difference...

The faster you shot the better.  Less of a linger...
Joe, I was the same way as you, but once that pain sets in
stick it to me no problem.  Good thing I didn't know that
when I was a younger chap! 

With this 31 gauge needle  I feel nothing at all, ok well with
the head going I fell nothing!
Also great for conservation for those tight on imitrex!

I am using about a 1/6th per hit now and still finding relief!

Boski
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« Last Edit: Sep 17th, 2010 at 2:21pm by boski »  
 
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Re: When to use imitrex injection?
Reply #22 - Sep 17th, 2010 at 11:56am
 
Brew wrote on Sep 16th, 2010 at 7:42pm:
boski wrote on Sep 16th, 2010 at 7:19pm:
The tip is for people who cannot, for whatever reason, obtain vials and syringes.Hey Brew:
It should be updated.  You can cut the plunger in the pen
and make 3 pens.  Much better for squeamish people.

Peace,

Boski

I'm the wrong person to tell - I've never used the stuff.

Send a note to either DJ or one of the moderators.


Guess we kind of did now, no? 

Yes I saw that in your post.  I guess you were lucky to be
able to deal with it with 02 and other ways.

Well, I do use,  I'm a junkie  Cheesy  You got me!!!! 
But I only use if I have too, not cause I want to!!!  Wink

Soon too be med free I hope!!!!

See I do forget had to post twice!!!

Peace all,

Boski
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« Last Edit: Sep 17th, 2010 at 11:57am by boski »  
 
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Re: When to use imitrex injection?
Reply #23 - Sep 17th, 2010 at 12:38pm
 
Since I started using 25lpm O2 I haven't had a hit I couldn't abort.  But if I'm away from my O2 I turn to Imitrex at kip 3-4 and use the 4mg stat dose.

Back when I used 15lpm there was the occasional hit that O2 wouldn't kill.  Id try to abort the attack twice slaming an energy drink in between.  If the bastard came back for round 3 or didn't go away I'd turn to old faithful.

Joe I still pause before hitting the button too.  But only for a second.  My snakes crawl up my neck.

I always inject in my stomach.  That's where my best padding is  Wink  Roofing nail indeed  Shocked

-Dennis-
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Re: When to use imitrex injection?
Reply #24 - Sep 17th, 2010 at 4:53pm
 
Yeah, I don't know what's more intense the lead up to the
pulling the trigger or just the thing going off.  I found using
the needle much more calming.  I was so tense with the stat
system.  And way way way more pain, during and after! 
I switched and will never look back.  Didn't think I could but
it's not as hard as it seems...  Wink  Not to mention the speed
that it is injected.  I put it in nice and slow, I'm in no rush and
it hurts if you squeezzze it in fast.....  I'm just a wuusss.  Cheesy

Peace,
Boski
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