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WELCOME! (Read 79277 times)
bigbird
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Re: WELCOME!
Reply #350 - Sep 15th, 2013 at 1:21pm
 
Hello all, newbie to the forum, oldie to the beast relationship.
What a great forum, don't believe this was around back in the day. Can not express how thankful I and everyone should be to whom ever started this.

Quick history. 53 years old, first headaches age 20 lasted until 48, reappeared last month after 5 year relief. Diagnosed around age 25 with classic clusters from Joel Saper at the Michigan Head and Neurological Institute in Ann Arbor. Currently on same meds as before, Prednisone and Verapamil. Hoping to get O2 soon.

Couple observations from my experience before.
Around age 30 had a max level episode, wanting to die at home, drove down dirt roads with one eye partially open. Saw stop sign at last second, went through intersection, huge adrenaline rush, level went from max to zero immediately. To bad medical field can't put that together to figure out the chemical imbalance.
Prednisone seems to be a pause button for me, after the burst the beast is still there. Burst is low now (10 mg), I wake up throughout the night with aches.

Questions,
The other night took sudafed and no aches. Anyone else do this? Still feel pressure but not coming through. Excedren did not allow this.

Has anyone had an absence for years then return?
Is this just a one time fond farewell or another long term relationship?
I'm to old to go through this again, don't know if I can make it or put my wife through it again.

My heart bleeds for all of us that need this site.
But love to all that are participating.
Thank you
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Mike NZ
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Re: WELCOME!
Reply #351 - Sep 16th, 2013 at 2:40am
 
Hi and welcome

For your meds, verapamil can be pretty effective as a preventive, however what dose are you on? A dose of 360-480mg a day will help many, but some people go to around 1000 to get relief. It is common for many doctors to be reluctant to prescribe higher doses.

For prednisione this is normally used as a short term preventive whilst something like verapamil is started and it takes about a week or so to build up to an effective dose. This is a taper dose, so it starts high, around 80mg for a few days and then tapers off to nothing over 7-10 days. Staying on prednisione long term can be pretty bad for your health, doing damage to various parts of your body, hence the short term use only.

Sudafed isn't something that is normally associated with helping with CH, so it is likely to be just a coincidence that you had not CH pain that night.

Pain killers don't tend to touch the pain of any CH other than possibly really mild ones, which is why people don't suggest things like exedrin or even narcotic pain killers.

Have you got anything to abort a CH when it arrives? This makes a huge difference to the impact of CH.

Oxygen is one amazing way to kill CHs. Read up about it at Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register plus Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

Keep reading and ask all the questions you can think of.
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bigbird
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Re: WELCOME!
Reply #352 - Sep 18th, 2013 at 12:33pm
 
Thanks Mike
I am on 360 of Verapamil. Is there side effects with high doses long term. Am willing to try if it works, seemed to get constipated when increasing it from180 to 360.
Pred burst only started at 40mg, decreasing 10 every 5 days. Went thru 3 bursts already. Long cycle this time, already 2 months in. Again seems like pred is a pause button.
Going to try to get O2, used it years ago. Do you find this helps break the cycle quicker?
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metrolamar
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Re: WELCOME!
Reply #353 - Sep 18th, 2013 at 3:36pm
 
Hey Bigbird,

Welcome to the message board....I am also pretty new to the board (not new to the headaches though).  Everyone on this board has been very helpful to me.  I see you asked if oxygen will break your cycle quicker?  It may not break the cycle but it does abort the Attacks like no other thing.  Oxygen has been the best thing for me to help with the painful attacks.  Normally within ten minutes you can abort a headache with oxygen.  The only problem I have with oxygen is keeping enough of it on hand.  When you get the your oxygen it is a good idea to get the M tanks for your home and some smaller e tanks for travel.  I personally like to have a full tank on hand at all times.  I guess what I am saying is take as many tanks as the oxygen company will allow you to have. Hope you feel better soon and I hope this oxygen advise helps.  I think once you get your oxygen life will be a lot better.
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bigbird
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Re: WELCOME!
Reply #354 - Sep 18th, 2013 at 8:12pm
 
Thanks Metro
Really gotta get some O2, I agree, it worked well with my prior episodes.
Have you or anyone had any luck in finding a way to sleep through the night without an episode?
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metrolamar
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Re: WELCOME!
Reply #355 - Sep 18th, 2013 at 8:18pm
 
Big Bird,
To answer your question about sleep...I have not slept in nine weeks.  I get hit about every hour that I try to sleep.  The Oxygen allows me to abort the hits in 10 to 15 minutes,  then back to sleep for another hour. These headaches do not want us to sleep.  I wish I had better news for you.
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bigbird
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Reply #356 - Sep 18th, 2013 at 8:53pm
 
No miracles yet, shoot.
How do we all make it. My heart really aches for all of us. It's torture.
I feel for my wife, she will wake when they get to level 7's and above to message my neck. Gone as far as to tell her to find someone else, but God knows, I wouldn't be here without her.

Hoping everyone has someone to get through these.
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Mike NZ
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Re: WELCOME!
Reply #357 - Sep 20th, 2013 at 12:38am
 
Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register - this has some good info about using verapamil.

The constipation is a very common side effect (I joke the tablets are made from concrete dust), make sure you have a good diet and enough fluids. I found that after a few months my body got used to it and adjusted.

The 40mg starting dose it a bit low for a prednisione taper which frequently starts at 60 or 80mg for 3 days, then drops by 10mg a day. Just make sure that you don't use prednisione too often over short periods of time as it can be pretty brutal on your body (Google will find lots on this).

O2 doesn't break a cycle, but it does kill off individual CHs pretty quick.
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Re: WELCOME!
Reply #358 - Sep 20th, 2013 at 4:39am
 
Hi all, I'm 40 and on week 18 after being diagnosed. My CH presents like a stroke and after spending a few days in hospital suspected of having a stoke ...CT and MRI's later I was told By my neurologist i had CH. Knowing nothing about this condition both my wife and I have had a steep learning curve. I have an almost constant pain in my left temple and 'Mr Pushy' behind my left eye. The left side of my face, eye and mouth is in an almost constant state of drop and looks worse when the pain increases.. My left arm also becomes numb and lazy. I'm on amitriptyline at night although I've just been switched to verapamil and I use sumatriptan injections and O2. The injections are a god send and I carry one everywhere. What I am finding hard is the almost constant headache which switches into a full attack mostly at night during late evening or at 2 am. I'm hoping my remission comes soon but at the moment it looks slim. My constant headache was not a feature until about 2 months ago. I've since been told that I may be a chronic and neuro is exploring a longer term plan for me....My wife is a big support and understands and gets me... I'm a very lucky man... Recently I am getting bad nausea with the pain... However I've just spent the last 3 days relatively pain free even in my temple...felling great until last night when it returned with a vengeance... Rocking like a crazy man rubbing my left temple and crying from one eye until the release and feeling of exhaustion when it ends only to repeat itself a few hours later....I hate this thing with a vengeance ....the beast is officially off my Christmas card list...I'm comforted to see so many on this site who replicate what we are all going through and I'm glad I found this site and as my wife has said " at least your not alone" Well that's me and I wish you all well PF
Dave
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Mike NZ
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Re: WELCOME!
Reply #359 - Sep 20th, 2013 at 4:54am
 
Hi Dave and welcome

You're not alone by a long way with over 11,000 people on the forum and no doubt many more who just read without posting. And since everyone here either had CH or supports someone with it, we all very much understand what you're going through.

Since you're in the UK, there is a UK based forum that you can also look into - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register. It will have some UK specialist knowledge that we don't have here plus there is a phone helpline too.

Verapamil for most people will be a much better preventive than amitriptyline. What dose are you on? We find most people get relief at 360-480mg a day although some need to go to around 1000mg.

Do read up about how many of us are using vitamin D3 to go pain free. I've been CH free for well over a year and it has helped over 80% of people who have tried it.

The background headache sounds like what we refer to as shadows. These are "just" low level CHs that will normally respond to CH abortives, like oxygen or even caffeine / energy drinks.

And you're lucky to have a wondeful supporter. They really can make a huge difference in how we handle things. Ask her to also look in here as there are many supporters here who can share tips on how to deal with us.

How are you using oxygen? There is a lot of info at - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

Start reading like mad and you'll be a CH expert in no time. Plus ask all the questions you can think of.
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Guiseppi
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Re: WELCOME!
Reply #360 - Sep 20th, 2013 at 8:59am
 
Welcome to the board! I'll echo what Mike said, you'll learn that knowledge is your best ally against the beast. The D-3 regimen he speaks of has had me pain free for over 3 years after 30 plus years of episodic:

Follow this link to the medications section of this board and read the post 

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

It’s a vitamin/mineral/fish oil supplement, all over the counter stuff. It’s up to an 81% success rate of those who try it and respond to the survey so you’re just shooting yourself in the foot if you don’t give it a shot. I’m 3 years pain free on it after a 35 plus year track record with episodic CH. Best of all, it’s healthy for you even without CH!

As of January 20, 2013, the compiled raw data indicates an efficacy of 80%. 240 out of the 300 CH'ers who have started this regimen and stayed on it for a month or more have experienced a significant reduction in the frequency and severity of their CH... 78% of the 300 CH'ers experienced a pain free response and 60% of the 300 have remained essentially pain free. Episodic and chronic CH'ers respond to this regimen at roughly the same rate.

Preliminary survey results indicate most of these CH'ers were pain free before the end of the third week with some responding in a little as 12 to 24 hours. The average time to respond is five days


Also take a look at our sister board:

Clusterbusters.com

Alternative, non mainstream treatments to address cluster headaches. They turn out some pretty impressive success stories there. The best new is you're not alone anymore.

Joe
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Dave_73
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Reply #361 - Sep 21st, 2013 at 4:59am
 
Mike, joe
Thanks so much for the tips. The 'shadow' CH make sense and at least I have a name for them now. I'm on a very low dose of the verapamil 120 a day until I see my doc this week who wants to check my ECG before he cranks it up and tapers me of the amitriptyline. I have two O2 tanks at home being monitored by the O2 clinical team at my local hospital. I find the taking it when I have a bad episode will abort it after 20 minutes but it is by no means enough to keep it at bay for a long period.
I will certainly be getting some vitamins as I will try anything at the moment to get my life back on track.
Thanks again guys
Dave uk
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Guiseppi
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Re: WELCOME!
Reply #362 - Sep 21st, 2013 at 8:37am
 
Dave, if you have trouble with the headaches coming back quickly after you stop the oxygen:

1: Try drinking an energy drink while you abort with the oxygen. I use a Sugar Free Red Bull, they all taste like piss to me but the red bull seem the least offensive! Any containing caffeine and taurine will do the trick. It pushes the come back attack several hours down the road for me.

2: It didn't work for me, but some people have had luck with staying on the oxygen another 5-10 minutes after the attack is aborted to prevent the come backer.

Joe
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Mike NZ
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Re: WELCOME!
Reply #363 - Sep 21st, 2013 at 4:38pm
 
Dave - read up how we use oxygen at Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

This approach should help get the time to abort down from 20 minutes. Using 25lpm and a non-rebreather mask I can kill mine off in less than 5 minutes.

When I get a high kipp CH, I'll grab a Red Bull once  I've killed off the CH. This helps prevent it returning plus I'm sure I also benefit from it in recovering from a nasty CH. Still no real idea what it tastes like as I just gulp it down and my mind is pretty much not remotely concentrating on the taste.

As you mentioned, 120mg of verapamil is a pretty low dose. When you increase it, working with your doctor, expect to wait 7-10 days before a dose change is effective, so don't change it too rapidly as you'll have no idea what dose really is effective. Lots get relief at 360-480mg a day, but some go to 1000mg a day.
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Dave_73
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Reply #364 - Sep 24th, 2013 at 3:43pm
 
Guys

Once again thanks for the great tips. For reasons unknown my episodes seem to have settled into shadows during the day to almost clockwork attacks In the evening. The 1-2am attacks are waking me up more and more over the past few months. I know that the pattern can take some months to settle.. But I am truly tired now...and the night attacks are just leaving me feeling abit crappy during the day as a result ( I say abit...understatement) and this just is not fair on my poor wife.

So I have a question ...

I'm on week 19 and was wondering what the chances are that I may slip into remission, what are your experiences regarding this? I am new to this so please excuse the questions if I've missed the obvious answer.
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Re: WELCOME!
Reply #365 - Sep 24th, 2013 at 5:33pm
 
Sadly that's very personal from CH'er to Ch'er. While you may eventually slip into easily identifiable cycles, you may also stay all over the map with it. Only time will tell. Sorry, I'm sure that's not very helpful Undecided

For the night time terrors, have you tried melatonin yet? It's an over the counter sleep aid. There was a thread awhile back that went into the differences between types of melatonin. Read the side of the box to make sure you get the good stuff.

It was generally agreed that the "good stuff" is

n-Acetyl-5-Methoxytryptamine.

Start with 9 mg. about 30 minutes before bedtime, some eventually go as high as 18 to get relief. It takes some trial and error.

Some people take a combo of both the immediate release (to get to sleep right away) and the time-release (to stay asleep). So you'd split whatever dose you end up with in half, take half standard, half extended release.

Joe
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Reply #366 - Sep 25th, 2013 at 6:00pm
 
Thanks Joe... IM seeing my doc tomorrow re an ECG and upping my verapamil ... I appreciate the advice and help you guys put in

Cheers

Dave
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welcome
Reply #367 - Sep 28th, 2013 at 12:50am
 
Well hello there! I'm 26th, originally from Venezuela, I got diagnosed cluster headaches roughly by the age of 19 and since then it has been a living hell twice a year. I get them right between the time changes of daylight saving time, and as most of you can imagine, right now I'm going through it. I've been lurking this website for a while, but I thought it was time already for me to join. Aditional info would be that I'm an engineer student. EE, love history, geopolitics, math (really?) and my girlfriend. Hope you all feel better.
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Re: WELCOME!
Reply #368 - Sep 28th, 2013 at 4:41am
 
Nothing wrong with lurking and learning warrior. Wink glad you decided to jump in. Spring and fall episodic here too. Used to just dread the changing of the seasons. This board changed all of that for me, hoping it does the same for you.

Joe
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hello all
Reply #369 - Jan 31st, 2014 at 3:53pm
 
Hello, my name is Jaymie. I haven't been suffering from clusters too long though it feels like a lifetime already. They started last spring, I had been 5 years seizure free and was working a construction day job, standing on a ladder sanding a pergola above my head. Out of nowhere I had a tonic clonic right there. I droped the running power sander on my face and fell of the second step of the ladder on my head, sucsessfully damaging my hypothalamus. This both caused cluster headaches and utterly screwed up my internal thermostat.
Living in the northern capital of British Colombia we only have 2 neurologists. One isn't accepting patients and the other yelled at me when I suggested all of the symptoms match clusters and are exponentially worse than a migrain. "GIRLS DON'T GET CLUSTERS!" so I printed off a few custom boble head action figures for some metal heads and bought a ticket to Vancouver. Got a diagnosis what felt like instantly.
Finding treatment that does not trigger tonic clonic convulsions is overwhelming. I'll be asking for oxygen Monday and I'm about halfway through soldering a bunch of red LED's into a mask.
The following trigger seizures:
-pain killers
-muscle relaxants
-sedatives
-most of the contents of energy drinks
-fast food
-hormones
-steroids
-Alcohol
-many chemicals
I also have a cyborg bladder so water treatment is a no go.
Not even a year ago I was a construction worker,  a band manager & an alternative model.  Now I'm just rugburn and facial scars.
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Mike NZ
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Re: WELCOME!
Reply #370 - Feb 2nd, 2014 at 3:23am
 
Hi Jaymie and welcome

It looks like you've found a neuro to avoid with his (or her) diagnostic skills being hindered by a total lack of understanding that women get CH too even though guys get them more often. At least you found a good one in Vancouver and well done in taking the initiative in doing that too.

You'll love oxygen. I can kill off mine in about 5 minutes using 25lpm and a non-rebreather mask. You can read up how we use it at - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register.

I'm a bit confused as to how you can make a mask out of LEDs. Care you enlighten us with your handiwork?

With your other medical issues it looks like many of the standard CH medications might cause issues, but do ask your neuro about verapamil or lithium as a preventive. Also do look at how many of us are finding success with vitamin D3. Again check it out with your neuro too.
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Jaymie
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Re: WELCOME!
Reply #371 - Feb 2nd, 2014 at 2:18pm
 
Thanks for getting back to me so quickly.  Ill ask about those options too.Smiley
As luck would have it soldering an LED is one of the easiest electronic skillets I've picked up.
sew the outer surface of the mask, followed by an appropriate insulation layer and then your wiring. I'm particularly fond of arduio I used them on both the 3D printers we built and nearly used one of their new micro-processors but chose a raspberry pi to run it as it's really quite ideal for clothing based electronics.  After soldering all the red LED's on measure out your placement for them on the inner fabric, punch out the holes and sew it in place.
...at least this is the plan for the first attempt.  I'm only about 65% done now. Designs generally change through trial and error.
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Re: WELCOME!
Reply #372 - Feb 2nd, 2014 at 6:14pm
 
Welcome to the board Jaymie, sounds like you have one hell of a full plate there. Undecided Do talk to the neuro about the D-3 regimen, it's had me pain free 3.5 years after well over 30 years of episodic CH. This is the link with the info:

Follow this link to the medications section of this board and read the post 

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

Good luck!

Joe
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Reply #373 - Feb 4th, 2014 at 2:02pm
 
I tried to get a prescription to O2 but was thwarted by the common stupidity of my province.  In British Columbia the one and only way you can get an in home O2 prescription is if your blood tests positive for COPD. I had been so amped for relief for the first time I decided to the hospital,  if every option other than O2 triggers seizures my only other option is just spend 20min every 12h between a 7&10 on the kip scale.
Just before they finished reading thIs sites lliterature on the cluster headache O2 package it hit full force for everyone in the er to witness in all it's banchie like headbanging glory. They got oxygen on me in about a minute and in about 5 I was seeing the final traces of the shadow behind my eye. The doctors didn't fully understand but they seem committed to finding a way to getting me oxygen despite not having copd. Theres several doctors meeting right now trying to find a loophole for me. ♡
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Reply #374 - Feb 4th, 2014 at 4:14pm
 
That's great news Jaymie, I hope they work very very hard at getting O2 for you.
All the best
Smiley
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