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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> Cluster followed by migraine?
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Message started by Plakatboy on Sep 19th, 2014 at 9:53pm

Title: Cluster followed by migraine?
Post by Plakatboy on Sep 19th, 2014 at 9:53pm
Was on the 11th day of the D3 regimen. Kip level were down to 3-4. Also notice decrease in frequency.

Had a kip 3 for around 45 mins which stopped at 1030pm. At 1130pm, another headache started which goes up to kip 7. The pain sensation was similar to cluster with the only difference that it was throbbing in nature. Comes in short waves but on the same side as the cluster with similar pain sites.
Never had this happen before.

I wasn't ready for this and the episode went on for a few hours. Even when the pain subsided, the right side of my head had a constant dull ache. Needless to say, didn't sleep much.

I was having heart throbbing sensation since on High D3 dose. I actually thought I was having a stroke or something and was toying with the idea of going to the ER.

Anyone has similar experience? What is happening?

Title: Re: Cluster followed by migraine?
Post by Bob Johnson on Sep 19th, 2014 at 10:39pm
Are you under a doc's care?
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LOCATING HEADACHE SPECIALIST

1. Yellow Pages phone book: look for "Headache Clinics" in the M.D. section and look under "neurologist" where some docs will list speciality areas of practice.

2.  Call your hospital/medical center. They often have an office to assist in finding a physician. You may have to ask for the social worker/patient advocate.

3. START PRINTPAGEMultimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or RegisterEND PRINTPAGE; On-line screen to find a physician.

4. START PRINTPAGEMultimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or RegisterEND PRINTPAGE Look for "Physician Finder" search box. They will send a list of M.D.s for your state.I suggest using this source for several reasons: first, we have read several messages from people who, even seeing neurologists, are unhappy with the quality of care and ATTITUDES they have encountered; second, the clinical director of the Jefferson (Philadelphia) Headache Clinic said, in late 1999, that upwards of 40%+ of U.S. doctors have poor training in treating headache and/or hold attitudes about headache ("hysterical female disorder") which block them from sympathetic and effective work with the patient; third, it's necessary to find a doctor who has experience, skill, and a set of attitudes which give hope of success. This is the best method I know of to find such a physician.

5. START PRINTPAGEMultimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or RegisterEND PRINTPAGE NEW certification program for "Headache Medicine" by the United Council for Neurologic Subspecialties, an independent, non-profit, professional medical organization.
        Since this is a new program, the initial listing is limited and so it should be checked each time you have an interest in locating a headache doctor.
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WHY A HEADACHE SPECIALIST IS RECOMMENDED


Headache. 2012 Jan;52(1):99-113.
Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden.
Rozen TD, Fishman RS.

THERE REMAINS A SIGNIFICANT DIAGNOSTIC DELAY FOR CLUSTER HEADACHE PATIENTS ON AVERAGE 5+ YEARS WITH ONLY 21% RECEIVING A CORRECT DIAGNOSIS AT TIME OF INITIAL PRESENTATION.


Title: Re: Cluster followed by migraine?
Post by Plakatboy on Sep 19th, 2014 at 11:02pm
Seen a HA specialist who recommended nerve block, pred taper and verapamil. Didn't do it since the D3 was working well last cycle.

The pain after the cluster hit was distinct enough for me to know the difference. Instead of the constant pain that builds up to an intolerable level, this built up to Kip7 and was throbbing/ in waves. Lasted about 4 hours.


Title: Re: Cluster followed by migraine?
Post by shooky on Sep 20th, 2014 at 10:49am
I have both CH and migraines. I sometimes get hit by one and then the other, sometimes have hits that have both symptoms and when cycles end almost always have migraines on the opposite side.

Imitrex should help with both. Sometimes it doesn't.

Title: Re: Cluster followed by migraine?
Post by Mike NZ on Sep 20th, 2014 at 3:52pm
I'm another one with CH and migraine, although I've not had them overlap.

Since you've got what looks to be both of them active at once you need to be careful with what medication you use as whilst some will work great for both, like imitrex injections, others can clash, so be careful of interactions.

Title: Re: Cluster followed by migraine?
Post by Chuffy on Sep 29th, 2014 at 1:34pm
Sounds to me more like the D3 is working or at least starting to work. When I used to get CH (thanks again Batch) my cycles always started and ended with normal migraine type headaches, usually with a bigger than normal hit which would be the beasts final death throes. See how the next week pans out.

Not sure about the heart pounding thing, might be just an adrenaline rush from the CH hit. I seem to remember getting palpitations sometimes when I was hit.

The trouble is, that your Doc will only be able and have the knowledge to put you on 'Big Pharma' medication and once you go down that route.......... :'(

Title: Re: Cluster followed by migraine?
Post by Plakatboy on Sep 30th, 2014 at 10:29pm
Thanks chuffy.

I'm getting less day hits but still getting hit every 2 hours at night with kip 3. My head feels sore and sensitive to touch. It seems that some veins are inflamed and lying down makes them worse.

My last 25(OH)D test on 22 sep was 107 Ng/ml and calcium was 10.4. Trying to cut down D3 intake to go back to 80ng/ml.

Title: Re: Cluster followed by migraine?
Post by Batch on Oct 1st, 2014 at 12:32am
A great set of posts!  You all have my attention...  I've a dozen or so migraineurs taking the anti-inflammatory regimen...  So far all but one report a complete remission and the one migraineur still getting hit with migraines for 2 to 3 days a month says they're tolerable enough to function.

The confluence of CH and migraine symptoms at the same time may be a horse of a different color... 

If I were to adjust the anti-inflammatory regimen to help during simultaneous attacks... I'd add more magnesium... ~600 mg/day, double the zinc to 25 mg/day...  and from out of left field... 400 mg/day curcumin (turmeric)...

Just be sure to take the curcumin with a meal...  400 mg is equivalent to 4 shrimp or chicken curry dinners.

Take care... I like this thread...

V/R, Batch

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