There have been some that have used triptans in pill form like Maxalt along with 02. The Maxalt takes too long to get in your bloodstream to be very effective after one starts. But some have felt that along with 02 to knock it, that Maxalt might keep the next one away for a few hours longer.

I am interested about your use of 02. How many lpm flow do you use and what type of mask? I will tell you that if you are not using at least 15lpm, the flow might not be high enough to knock it.

kekahbah wrote on Jul 18^th, 2008 at 9:24pm:

This is the way it was explained to me by my neurologist.

Maxalt is absorbed in the gut, not in the membranes of the mouth. Therefore, the MLT form is somewhat liquified by the time it hits your stomach. The tablet form takes a few minutes to break down once it hits your stomach. The first is probably absorbed a few minutes sooner because of the delivery method.

The MLT form was developed so that it could be taken anywhere, without a glass of water, not so that it is absorbed faster (even though it is, by maybe five minutes). Neither one, however, starts taking effect for at least half an hour.

Imitrex injectable, Imitrex nasal spray, and Zomig nasal spray all start acting faster than Maxalt.

Over the years we have had plenty of messages, confirming the medical literature, about previously effective meds no long working.

There is no option except to start a search for something new which does work. Why this happens is unknown and it's frustrating, etc. but not anything which we can control.

Imitrex injectable has become the "gold standard" but also see button, left, about using half dosing. Discuss with your doc about a trial at both full and half dosing.

See also the possibility of Zyprexa as an abortive. Has some distinct advantages in terms of convenience, cost per dose, and decent speed of effect.

=======http://www.plainboard.com/ch/chtherapy.pdf

Here is a link to read and print and take to your doctor.  It describes preventive, transitional, abortive and surgical treatments for CH. Written by one of the better headache docs in the U.S.  (2002)
================
Michigan Headache & Neurological Institute for another list of treatments and other articles:

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