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Cluster Headache Help and Support >> Cluster Headache Specific >> need advice, everything has changed
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Message started by Joshl924 on Apr 17th, 2011 at 9:20pm

Title: need advice, everything has changed
Post by Joshl924 on Apr 17th, 2011 at 9:20pm
So .....

I know I have a tendency to be long winded so I will keep it short and sweet

Ever since I did a 10 day taper of Prednisone, I just have a constant headache... Its like a shadow cluster vice like feeling that shifts in the manner that it feels...

I sometimes get the homer syndrome as well... my eye lid started to droop once when I wasnt even doing that poorly

OTC pain relievers work(ed) but a new doc I have been seeing that I was sort of forced into going to has me on indomethicin which means I cant take any OTC or even vicodin

Has anyone had this... Literally a constant headache somewhat low level pain.

Ive taken zomig once or twice when I was going out. it helped on 2 occasions and didnt work at all on a 3rd

May try imitrex as an experiment tmw.

I know I should be thankful for not getting major hits like I was, but....this is in certain ways worse becuase it is just constant.

Should I go on prednisone again? is it possible it could get knocked out totally?

anyone heard of this or dealt with this.... ?

I feel like its murphys law over here

Title: Re: need advice, everything has changed
Post by Skyhawk5 on Apr 17th, 2011 at 11:21pm
At my cycle peak, during uncontrolled, fullblown Kip-9-10, I sometimes get what I call the afterburn, K-5-7+, that lasts for days and once 9 days.

O2 works for me on these but uses a lot of O2, but for me lower level O2 helps with this. Just VERY frustrating. Then it abrubtly stops. I have not found any drug that stops this for me.

Prednisone is very helpful, but it can be quite dangerous at high, prolonged doses, just be aware. I've used Pred many times, to get me thru Funerals, weddings, and one trip to Vegas.

After many years of on cycle use, I developed a problem with my blood work, I was watched for Cancer for over a year, because my counts were so far out of whack..

Hope this helps,    Don

Title: Re: need advice, everything has changed
Post by wimsey1 on Apr 18th, 2011 at 8:47am
Josh, I'm still not clear on whether you've tried high flow O2 with a nonrebreather mask or not. Have you? And why not try imitrex, or migranal, or DHE45 injections? Or olanzapine? You still have a number of abortives avaialbe. Like Don, I've experienced the constant "background" headache which O2 will eliminate until it returns and I'm back on the O2. I do go through quite a lot of it, but it's better than feeling miserable. I have noticed an energy drink coupled with O2 tends to be more effective at this than O2 alone. Blessings. lance

Title: Re: need advice, everything has changed
Post by krys on Apr 18th, 2011 at 9:24am
my husband has had a constant headache since a few days after he started a prednisone taper in mid-feb (second week of his cluster headaches). he described it as between 6-7 on the pain scale, and constant, it hasn't gone away for one second since it started in feb. it's gotten worse in the last week and is now between 8-9 on the pain scale; oxygen hasn't helped, dhe hasn't helped, percocet or dilaudid take the edge off a little but the pain still remains (and 48 h ours later we're back in the ER needing more narcotics). he was on indomethacin to rule out hemicrania continua a month or so ago, but the headache was both sides then..and now it's just one side, same as the attacks. he just started prednisone again last week (on the second day of the higher pain) and it hasn't helped so far...

(not that any of this helps except to know someone else is dealing with the same thing.) the doctor has mentioned hemicrania continua, but said he can't take indomethacin while taking prednisone..and has also mentioned new daily peristent headache (which..it doesn't look like there is anything that will help).

Title: Re: need advice, everything has changed
Post by Jeannie on Apr 18th, 2011 at 9:55am
I also battle strong shadows, sometimes for weeks at a time. The droopy eye is there too.   O2 chases them away for a bit but they come right back.  Red Bull and Excedrin Migraine helps a little too. 

Pf wishes,

Jeannie

edited for wording.

Title: Re: need advice, everything has changed
Post by E-Double on Apr 18th, 2011 at 10:04am
Yes Ive had the all day shadow.
Are you positive it's a shadow and not migraine? Is it really dull and painful, wrenching?
We can get both.
Why are you taking indomethacin? did the doctor give you a rationale?

Anyway take a breath and live

Title: Re: need advice, everything has changed
Post by ClosetCHer on Apr 18th, 2011 at 12:04pm
I've never taken prednison or any other prescription med for CH, but I do have long shadows. Just in the last few weeks I've had shadows that lasted the entire time I was awake, which isn't fun but better then a CH. On other days, I won't have any shadows or a shadow that will last an hour or two. This is the first cycle that I've been having shadows this long.

Title: Re: need advice, everything has changed
Post by Batch on Apr 18th, 2011 at 1:37pm
ClosetCHer,

Do either of the ICHD II headache classifications ring a bell?

4.7 Hemicrania continua

A. Headache for >3 mo fulfilling criteria B-D
B. All of the following characteristics:
  1. unilateral pain without side-shift
  2.daily and continuous, without pain-free periods
  3.moderate intensity, with exacerbations of severe pain
C. At least one of the following autonomic features occurs
during exacerbations, ipsilateral to the pain:
  1. conjunctival injection and/or lacrimation
  2.nasal congestion and/or rhinorrhoea
  3.ptosis and/or miosis
D.Complete response to therapeutic doses of indomethacin
E. Not attributed to another disorder


4.8 New daily-persistent headache

A. Headache for >3 mo fulfilling criteria B-D
B. Headache is daily and unremitting from onset or from
<3 d from onset
C. At least two of the following pain characteristics:
  1. bilateral location
  2.pressing/tightening (non-pulsating) quality
  3.mild or moderate intensity
  4.not aggravated by routine physical activity
D.Both of the following:
  1. not >1 of photophobia, phonophobia or mild nausea
  2.neither moderate or severe nausea nor vomiting
E. Not attributed to another disorder

Take care,

V/R, Batch

Title: Re: need advice, everything has changed
Post by Joshl924 on Apr 19th, 2011 at 11:13am
Ill try to address each question

Wimsey: I cant get the damn (insert 58 curse words here) mask to work honestly.. It wont let me suck back in without creating a vaccum..... thinking of going back to crappy mask at least I can get some 02 in me... I really dont know how to use the damn thing

batch ive read about that...  but I was having traditional CH for awhile and in fact woke UP WITH HIT this morning prob a 6-7.. so Im back to good ole standard CH.

noticed myself stopping looking both ways before I cross the st....

Title: Re: need advice, everything has changed
Post by Joshl924 on Apr 19th, 2011 at 11:16am
yea... Ive been on indo for almost a week and other than my inability to take advil tylenol or excedrin on it, it seems like a huge waste of time...

as the teenagers say FML


Title: Re: need advice, everything has changed
Post by vietvet2tours on Apr 19th, 2011 at 11:19am

Joshl924 wrote on Apr 19th, 2011 at 11:13am:
Ill try to address each question

Wimsey: I cant get the damn (insert 58 curse words here) mask to work honestly.. It wont let me suck back in without creating a vaccum..... thinking of going back to crappy mask at least I can get some 02 in me... I really dont know how to use the damn thing

batch ive read about that...  but I was having traditional CH for awhile and in fact woke UP WITH HIT this morning prob a 6-7.. so Im back to good ole standard CH.

noticed myself stopping looking both ways before I cross the st....

  That's impossible, try turning the oxygen on,  it must keep the bag full.

     Potter

Title: Re: need advice, everything has changed
Post by Skyhawk5 on Apr 19th, 2011 at 10:54pm
Josh, we need to get that O2PTImask going for you. Please read thru the link below to the section that shows the O2PTImask. There are photo's of the mask assembled, put it together like the photo's.
START PRINTPAGEMultimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or RegisterEND PRINTPAGE

If need be I'll talk you thru it on the phone, just let me know.

Don



Title: Re: need advice, everything has changed
Post by wimsey1 on Apr 20th, 2011 at 8:16am
Josh, what flow rate does your regulator permit?  I know when I was "stuck" at 12-15lpm I also emptied the bag because I was breathing so rapidly and deeply. When I first hit the O2 I need a 25lpm flow just to keep the bag inflated between hits. I have also found the demand flow valve works best when coupled with the non rebreather mask. Take Don up on his offer. He and Batch were great help to me not so very long ago. And so was Brew; he wouldn't be here if he didn't care.  Some use, as do I on my E tanks, a T-connector to be sure I get full use of the O2 and do not have to bother with a mask. Get on this, Josh. Proper technique and equipment are vital to O2 effectiveness. Blessings. lance

Title: Re: need advice, everything has changed
Post by Jeannie on Apr 20th, 2011 at 9:46am
Same thing was happening to me at 15lpm.  I was sucking the bag flat then having to wait for it to refill. 

    START PRINTPAGEMultimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or RegisterEND PRINTPAGE

Bought myself one of these and it has made a world of difference.  ( Thanks Racer )

Jeannie

Title: Re: need advice, everything has changed
Post by Joshl924 on Apr 20th, 2011 at 12:24pm
yes... 15 is the highest my regulator permits....

So you guys are saying its not the mask its the flow rate?


Title: Re: need advice, everything has changed
Post by vietvet2tours on Apr 20th, 2011 at 12:41pm
Does the bag fill?

        Potter

Title: Re: need advice, everything has changed
Post by Joshl924 on Apr 20th, 2011 at 1:17pm
kinda.... I dont know what the deal is..

also the last time I got it refiled, the flow got alot slower.. but the gauge said it was fine and when guy lifted it off a bunch came out

the O2 is giving me a headache       joking...

Title: Re: need advice, everything has changed
Post by vietvet2tours on Apr 20th, 2011 at 1:51pm
Crank it up.

    Potter

Title: Re: need advice, everything has changed
Post by Skyhawk5 on Apr 20th, 2011 at 3:41pm
Maybe the regulator got turned down during the tank change? Try it on 15lpm, that's where you should start, for faster aborts. Check for bent O2 line. It's best to do these things when not getting hit.

Don

Title: Re: need advice, everything has changed
Post by wimsey1 on Apr 21st, 2011 at 8:35am

Joshl924 wrote on Apr 20th, 2011 at 12:24pm:
yes... 15 is the highest my regulator permits....

So you guys are saying its not the mask its the flow rate?


We're saying the flow rate is probably too low although even at 15lpm, the bag should fill up like a balloon if you aren't breathing through it. The mask needs to be a nonrebreather type or you will be mixing room air with pure O2, messing up the O2's effectiveness.  You either make up a couple of valve flaps to cover the two holes on your mask, or cover them entirely. Hope this helps. lance

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