Posted by gary (208.133.220.91) on December 09, 1999 at 01:18:53:
In Reply to: I disagree posted by Rich on December 08, 1999 at 22:57:16:
you say:
"It dosn't occur during withdrawal it occurs because of over realinance on the drugs. I have to go through a few unmedicated attacts per day or I will rebound."
sounds like you're saying you get attacks whether you take the meds or not - you're just calling then different names depending on whether you're taking the med or not
is that what you mean ?
I don't mean to be argumentative, but this is a very important part of the therapy puzzle
I often rotate the meds I take for CH, because almost any of them will lose effectiveness PER DOSE, if taken with the frequency we need them for CH
BTW - you don't have to STOP taking a substance to get withdrawal pain/discomfort, it can also occur when the body builds a tolerance and the existing dosage no longer does the job
THAT'S withdrawal also
what I can understand, and have had happen myself, is taking a particular drug so often that I build a tolerance to it
when that happens 1 of 2 things, or both, happen:
1. the same dosage becomes less effective, and doesn't work as long or as well, so in the case of a painkiller/abortive, it may wear off before the attack clears unless I increase the dosage (which just starts the same cycle over again, at a higher dosage) - this would be a common effect with many drugs, in many
and/or
2. in the case of a preventive, the body reacts to the drug by "overcorrecting", and the preventive function is lost
the way I see it
it is a withdrawal problem whether we actually stop the drug cold turkey and get the backlash
OR
we take so much of it that the effectiveness diminishes (very common) and we get the attacks/pain anyway unless we increase the dosage
my basic question/confusion is this:
I still haven't found any explanation of "rebound" symptoms that show it to be anything different than a plain old increased tolerance withdrawal effect
another problem with applying this concept to CH is that the attacks themselves are NOT individual events with healthy periods in between
it's pretty well established now that what we call a "cluster" is a lengthy period of the diseasebeing active 24/7, and the "attacks" are an included symptom, just one of several that go with CH
the key to even beginning to understand the CH puzzle is realizing that those attacks are NOT separate, isolated events