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   Pred - Verapamil - Maxalt - Questions
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   Author  Topic: Pred - Verapamil - Maxalt - Questions  (Read 1417 times)
jamie_h
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Pred - Verapamil - Maxalt - Questions
« on: Nov 25th, 2002, 10:57pm »
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I just started having cluster headaches about 2 1/2 monhts ago.  It has been a rough ride at times with probably 15 kip 9-10's.  Urgent care offered a shot of stadol which was great at the time, the nasal stadol made my nasuas and I could not sleep, so I ditched that.
 
I went to an internal medicince doctor during a 3-4 day period that I had only had some mild sypmtoms, and he prescribed Maxalt.  Over the next 5 days, I had numerous attack onsets and the Maxalt works great to abort the HA as long as I take it quick and not try and stick it out to see if it materializes.
 
I have now seen a headache specialist and he has prescribed pred 60 mg a day tapering over the course of 15 days.  I am also taking verapamil 120 mgs x 4 daily.  It has only been 5 days, how long does it normally take to feel the effects of the verapamil?  While the cycle is not completely broken, I do feel much better between the shadow and HA time periods.  Much less stress on my jaw area and neck.
 
Should I look at oxygen too as an abortive?  My doctor mentioned it as another option with the Maxalt.
 
Last, as for myself and I am sure for many others, I am counting on the LORD to heal this thing completely.  I cannot resign myself that this is permanent.  I join everyone willing to agree with me in prayer that God can and will conquer this beast that has invaded so many of our lives! Smiley
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NotH20
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Re: Pred - Verapamil - Maxalt - Questions
« Reply #1 on: Nov 26th, 2002, 3:08pm »
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Jamie,
 
I'm not doctor, but the Verap usually takes a little bit of time to start working (maybe 2 weeks or so).  What you are probably feeling the best from is the Pred.  That usually works within abou 24 hours.
 
IMHO, you probably should look into getting some O2 - it helps so many ch'ers.
 
We wish you much luck - keep us posted...
 
NotH20
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Dave_W
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Re: Pred - Verapamil - Maxalt - Questions
« Reply #2 on: Nov 26th, 2002, 3:14pm »
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Hi Jamie,
 
I'll just duplicate NotH20's post -- verapamil takes a couple weeks to get up to speed for me, and the prednisone burst helps get thru the waiting.
 
I do oxygen first for almost all of my attacks (unless one comes on so fast and hard that I skip to step 2 right away).  It aborts maybe 3 out of 4 in about 10 minutes.  I use imitrex for the bad ones that won't go away, it always works -- similar to your maxalt.
 
Your doc sounds like a good one, hope you get things under control soon!
 
Pain Free Days!
 
Old Dave
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