Hi everyone:
I used to be  involved with CH.com several years ago, but the beast left me and only came back once, shortly, several years ago.  I believe the last time I posted was in 2000??  Hopefully some may remember me.  I had a short cycle about 3 years ago and the lithium I had taken previously had no effect.  Tried Topomax....bad side effects.  So, I tried Melatonin.  Worked great.  Started out and 12 mg then cut back to 9 and have been on that since ---- have not taken a break at all.  Now, this past week I have been waking up in the am with CH.....probably on the scale of about a 5.  I am fine through the entire night, then after I wake up, it starts.  Lasts for about 45 minutes, then subsides to a shadow for the most part of the day.  I have not taken Imitrex for it as they really aren't "that bad"....but could get to that point.  I have had 10s in the past.  Any suggestions?  I will be making an appt. with my neurologist and want to be somewhat educated on any new meds out there.  I also thing that this MAY be related to my occipital artery / nerve.  I have been waking up over the past several weeks, on and off, with neck pain in that area along with some migraine headaches.  If anyone has any suggestions, I would appreciate it.  Thanks and I'm glad to see SOOOO many people still coming to the site. 
Cathy Jo O'Neil

Caffeine, taurine. 02
all the best
thebb

Hi:
I have tried O2 in the past.  Didn't touch them.  Have been on the many migraine meds such as caffergot....no luck.  Lithium was the best for the CH several years ago.  Is it worth trying again?  The big difference this time is no waking up in the middle of the night with them.  Perhaps this is due to the Melatonin.  However, I am getting them either in the a.m. after waking up or early evening when "relaxing".  I will print out those references and take them to my neuro, whom I see tomorrow a.m.  But, until then, any other suggestions are welcome!!
Thanks a bunch!
Cathy Jo

Many find oxygen didn't work the first time they tried it because they had incorect technique, thy used nasal canulas, re breather masks, low flow rates. For oxygen to stop a headache, you must get pure 02 to the lungs, and nothing else. No outside air, no re breathed air, just 02. I use a "demand" type regulator, most use a "Non Re Breather" mask with a high flow regulator, at least 15 lpm. It must be started at the first sign of an attack. I can abort an attack in as little as 6 minutes.

I still use lithium as my prevent, at 1200 mg a day, when on cycle, it blocks 80-90% of my attacks, the 02 will usually beat down the ones that break thru the lithium. With CH it's often beneficial to retry a med that didn't work the first time, the beast never seems to stop morphing. Good luck whichever route you take.

Guiseppi

i use a 25 lpm regulator. i crank it all the way up, and hyperventilate. 15 lpm minimum. if you are using a mask, make sure it's air tight and the round rubber flaps are sealing. haste is a must using o2. if i get on it before i get to a kip4 or a 5 i can level it out and the length of the attack is about 5 to 7 minutes. if you wait until it's out of control o2 is not going to help much. there are very few of us that do not get relief with o2.

Hi Cathy Jo,

I also use Melatonin - for this cyle and my last. I posted some info recently on the Meds Board under 'Does Melatonin really work' you mayfind some helpful info there.

regards & PF days,

Melvyn