Just wondering, my husband started getting ch's end of May. Been on topamax/verapamil since. After two weeks of starting meds. ch's quit, just shadows. Neuro tried lowering verapamil, two weeks later had a headache so she put him back on original dose. Its been 3 weeks now w/no headache. Thinking about calling to see if she wants him to try to lower verapamil again.  If she lowers it and he doesn't get a ch, does that mean he's out of the cycle?  Don't really understand when you know your out - do you have to get off the meds to see if you have a ch?  First time at this, need help!

Pretty much the same as Jeannie said for me.  I stay on for several weeks after my last hit and taper off slowly - about a 3-4 week taper.

Good luck-  glad he's pf

Kelly

Beer does not seem to trigger the headaches.  My husband has cut down quite a bit on his drinking, but seems to have never triggered the ch's. 

I know I'm out when headache free AFTER the pred taper for 10 days. I do the taper starting with 100 mg per day until no headaches for three days then 80, 60, 40, 20 etc.. That gives the verapamil time to kick in. Days 8-10 are pretty stressful!