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CH after taking prednisone (Read 9354 times)
mizro
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CH after taking prednisone
Sep 3rd, 2009 at 3:50pm
 
Hello! I am new to the site and thankful to find that I am not the only one suffering with this type of headache. I started having CH when I was 19. Was put on Cafergot and Sansert. Cycle lasted about 6 weeks. Years went by with no episodes. Had one about 5 years ago, cycle lasted 4 weeks. I am now 2 1/2 weeks into my current cycle. Saw my PCP who stated me on 240mg of Verapimil and Imitrex nasal and inj. Then she increased the Verap to 300mg. Saw a Neurologist who put me on 100mg of Prednisone with a taper and changed my Verap to 3 80mg pills per day. I started that yesterday afternoon (Ok per MD). About 30 mins after taking, I had a headache. I had been having one episode daily in the evening either before bed or an hour or so after sleeping. Yesterday I had the first during the day. Thought it was a fluke so I took the second dose of 100mg Prednisone and an 80mg of Verapamil this morning. Again, 30mins later, I have a CH, about a 7 kip. Had to take the Imitrex inj to stop it. Have already left a message for the MD. I don't want to continue the prednisone if I will get a headache after and especially don't want to add another headache when I was dealing with one per day. Anyone else experience a headache after taking the prednisone? I think I had more success on cafergot. Waiting to hear back from the MD. Any suggestions??  Cry
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Brew
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Re: CH after taking prednisone
Reply #1 - Sep 3rd, 2009 at 3:59pm
 
I got nuthin'. Beginning a prednisone taper always stops my hits cold in their tracks.
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Guiseppi
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Re: CH after taking prednisone
Reply #2 - Sep 3rd, 2009 at 5:14pm
 
I'm with brew, pred provides 100% relief for me, I use it on a taper while I wait for my prevent, lithium, to kick in. Hang in there....hope the doc can figure this one out.

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mizro
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Re: CH after taking prednisone
Reply #3 - Sep 3rd, 2009 at 5:25pm
 
Thanks for your responses. Still waiting for MD to call back. I realized it was the Sansert that worked not the Cafergot. I must be in that 30% that is non responsive to prednisone. We will see...I am hopeful!
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Marc
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Re: CH after taking prednisone
Reply #4 - Sep 3rd, 2009 at 5:31pm
 
mizro wrote on Sep 3rd, 2009 at 5:25pm:
..... I must be in that 30% that is non responsive to prednisone. ..............


Wow, I would have guessed that it worked for a FAR higher percentage of people than that.

Where did that number come from?

Marc
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« Last Edit: Sep 3rd, 2009 at 5:32pm by Marc »  
 
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Re: CH after taking prednisone
Reply #5 - Sep 3rd, 2009 at 5:34pm
 
30% sounds like the non-response stat for stuff like Zyrtec or Allegra.
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mizro
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Re: CH after taking prednisone
Reply #6 - Sep 3rd, 2009 at 5:47pm
 
I saw in some article about Prednisone working for 70%. But I have been reading so many articles, I may have the incorrect information on the percentages. Of course, I can't seem to find it now. Undecided Cheesy Embarrassed
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Re: CH after taking prednisone
Reply #7 - Sep 3rd, 2009 at 7:19pm
 
That is pretty unusual, but if Pred does it, I would stop it, and go with cafergot. I would try Lithium + Verap too, and eventually Clusterbuster stuff.
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Re: CH after taking prednisone
Reply #8 - Sep 3rd, 2009 at 8:35pm
 
MattyAA wrote on Sep 3rd, 2009 at 7:19pm:
That is pretty unusual, but if Pred does it, I would stop it, and go with cafergot. I would try Lithium + Verap too, and eventually Clusterbuster stuff.


Not a good idea to stop it WITHOUT talking to a doctor first. You can end up in a steroid crisis if you come down off of pred too fast.

(I've been in one, it can kill you.)

I have no idea if it works for me, as my response to it is hives and anaphylaxis. (Don't ask how, my allergist does not understand it, and no one else does either.)
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Guiseppi
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Re: CH after taking prednisone
Reply #9 - Sep 3rd, 2009 at 10:02pm
 
Not a good idea to stop it WITHOUT talking to a doctor first. You can end up in a steroid crisis if you come down off of pred too fast.

I should preface more of my statements with this! Sounds like you're already traveling this road based  on your waiting for the docs response, but NEVER stop, start, increase, or reduce meds without the doc's knowledge. We deal with some pretty high horsepower stuff, nothing we should play fast and loose with! Wink

Joe
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Re: CH after taking prednisone
Reply #10 - Sep 3rd, 2009 at 10:14pm
 
There are some meds that, stopping them immediately, are merely a bad idea.

There are others - like prednisone - that, stopping them immediately and abruptly, can be downright dangerous, like Mystina described above.

My doctor told me that a person can start a prednisone taper and stop it abruptly after about 2 days with little risk, but once you've been on it for 3 days or more, you need to finish the entire taper. Otherwise some really bad shit can happen.
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Re: CH after taking prednisone
Reply #11 - Sep 3rd, 2009 at 10:30pm
 
hey mizro,
I did not respond at all to prednisone either.  I got no relief, Not one headache less (or less brutal for that matter) - but all the nasty side effects.
I tapered off though - It is Very important!!  Your body stops making natural steroids and you can cause very bad things to happen if you don't taper VERY SLOWLY off the drug so your body can begin making them again.  Make sure to work with your doc, of course!   Wink    Cool

Val
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Re: CH after taking prednisone
Reply #12 - Sep 4th, 2009 at 7:48am
 
I only did Pred once several years ago.  During the taper I was PF.  As soon as the taper was over, the headaches came back almost immediately and worse.
Gained a crap load of weight too in just days.
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mizro
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Re: CH after taking prednisone
Reply #13 - Sep 4th, 2009 at 11:04am
 
Thanks all. Spoke to the doc last night and he wants me to stay on the prednisone. If I get a CH this morning after taking the prednisone to call him and then he would increase the verapamil and get me some more imitrex inj. I did have another CH last night about 7:45pm. Was having 1 CH now having 2.  Cry Took the Prednisone about 30 minutes ago, so far so good. Trying not to focus on it and do other things. Will keep you posted.
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Re: CH after taking prednisone
Reply #14 - Sep 4th, 2009 at 11:44am
 
Hey - good luck to you.  Predisone always worked for me from the first dose.  I'm sorry you are finding it rough going.  I did also find that as soon as my "threshold" dose was passed on the way down in the taper, the HA"s would come back, and come back stronger than before.  So I hope whatever you are ramping up on (verapamil) is taking effect.

good luck!
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Marc
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Re: CH after taking prednisone
Reply #15 - Sep 4th, 2009 at 9:13pm
 
mizro wrote on Sep 4th, 2009 at 11:04am:
Thanks all. Spoke to the doc last night and he wants me to stay on the prednisone. If I get a CH this morning after taking the prednisone to call him and then he would increase the verapamil and get me some more imitrex inj. I did have another CH last night about 7:45pm. Was having 1 CH now having 2.  Cry Took the Prednisone about 30 minutes ago, so far so good. Trying not to focus on it and do other things. Will keep you posted.


Please do let us know.

The various forms of Pred are the "wonder/curse" drug that will give us CH'ers a short break - but it will cause bigger problems over time, so we can't continue it.

Typical response is CH free in 24-36 hours at the appropriate dose - should ALWAYS be taken in a prescribed tapering dose as a temporary preventative - not "as needed" for an attack.

The taper is critical after taking it for just a few days.

ALWAYS work closely with your doctor on these things.
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tylerb
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Re: CH after taking prednisone
Reply #16 - Sep 7th, 2009 at 10:42am
 
Just cuirous......how long are you usually on the prenisone taper.  Just finished a two week taper and started to have 2-4 hits a day.  Calling back tomorrow for more prednisone.
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Re: CH after taking prednisone
Reply #17 - Sep 7th, 2009 at 10:51am
 
You don't want to be on prednisone for long. It is intended as a stop-gap until other, safer preventative meds reach theraputic levels. Are you on any of those?

Quote:
Short-term side-effects, as with all glucocorticoids, include high blood glucose levels, especially in patients that already have diabetes mellitus or are on other medications that increase blood glucose (such as tacrolimus), and mineralocorticoid effects such as fluid retention (it is worth noting, however, that the mineralocorticoid effects of prednisone are very minor; this is why it is not used in the management of adrenal insufficiency unless a more potent mineralocorticoid is administered concomitantly).

Additional short-term side-effects include insomnia, euphoria, and, rarely, mania (particularly in those suffering from Bipolar I and II).

Long-term side-effects include Cushing's syndrome, truncal weight gain, osteoporosis, glaucoma, type II diabetes mellitus, and depression upon withdrawal.


Go to wikipedia.org and type "prednisone" in the search field, then start reading. Two weeks is plenty.
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« Last Edit: Sep 7th, 2009 at 10:53am by Brew »  

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tylerb
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Re: CH after taking prednisone
Reply #18 - Sep 7th, 2009 at 12:48pm
 
Cycle started two weeks ago....dr put me on lithium (900mg).  My last cycle I had great success with it......going to call dr. to see what he thinks about one more week of prednisone.
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Re: CH after taking prednisone
Reply #19 - Sep 7th, 2009 at 1:34pm
 
Or possibly ask about combining the lithium with verapamil. They don't call it the "chronic cocktail" for nothing.
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tylerb
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Re: CH after taking prednisone
Reply #20 - Sep 7th, 2009 at 1:59pm
 
I'll ask him about it...thanks.
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mizro
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Re: CH after taking prednisone
Reply #21 - Sep 8th, 2009 at 4:31pm
 
Hello all!
Here is the update. Took 80 mg verap and then went to church on sunday. Decided not to take the Pred until I returned just incase the headache decided to come during service (didn't want to run to the bathroom to shoot up. Felt a lil odd at church. haha) During the sermon started to feel the headache coming on. Left church early, went home and took the Pred. Headache gone within a matter of minutes!!! It finally kicked in! Slept alot on Sunday. Went to bed that night after taking my other doses of Verap. No headache! Have been headache free since Sunday!!!!  Grin Whooo hoooo! I am now tapering down on the Pred. 60 mg for the next 3 days, then 20mg then 10mg. I have about 9 days left on the Pred. The side effects: I feel dopey!  Shocked BLOATED! My face is as round as a pie! I am out of breath easy (I also have asthma so this is not helping my breathing but I am handeling it). I am just tired alot and want to sleep. Having weird dreams but no headaches. Its the best of the worst I guess. I see the doc again on Thursday. Thanks for all the responses. Will keep you updated.
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Re: CH after taking prednisone
Reply #22 - Sep 8th, 2009 at 9:02pm
 
The previous cycle I had (almost 2 years ago now) I did a prednisone taper and it stopped the cycle. Was amazing! This cycle I am currently in (for over 3 months now) I tried a prednisone taper a month ago and it seemed to not have any affect at all on this cycle. I guess it seems hit or miss with me, but you know... next cycle down the road... i would probably try it again. Anything that would end it quickly, you know?
However, i am now on a larger dosage of verapimal, 480mg a day, and I have been PF for a little over a week.  Cheesy
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Re: CH after taking prednisone
Reply #23 - Sep 9th, 2009 at 2:07pm
 
I've been starting Prednisone therapy (60mg-60-50-50 etc daily ) at the first sign of a new CH cycle and for me it takes 1.5 to 2.5 days before the cycle and headache intensity are affected. I've also learned that taking prednisone in the evening or at night messes negatively with my sleep big time so I now always take it in the morning.

I'll be visiting a new (to me) CH neuro in October and will bring up whether starting at 60mg is enough, as well as her insights on other helpful subjects found in these forums such as melatonin.
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Re: CH after taking prednisone
Reply #24 - Sep 9th, 2009 at 3:13pm
 
BudO wrote on Sep 9th, 2009 at 2:07pm:
I've also learned that taking prednisone in the evening or at night messes negatively with my sleep big time so I now always take it in the morning.

There's a reason for that. Your adrenal glands produce a big surge of corticosteroids when you wake up in the morning, and prednisone is replacing that during the taper.

A doctor prescribing prednisone should tell you to take the entire dosage in the morning, replicating the body's natural production. Unless there's an application that I'm not thinking of.
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