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Nitetime attacks.For the love of god someone HELP! (Read 10325 times)
calisto
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Nitetime attacks.For the love of god someone HELP!
Jul 4th, 2010 at 11:40pm
 
HELP HELP HELP!

Ive been in cycle now for just coming into my 5TH week, my cycles normally only last 3. Ive been taking melatonin for 2 years and managed to keep the beast away for an extra year but the son of a bitch is making me pay for it now!!

The daytime attacks have stopped or are at least managable 'cause i can catch them early with O2. Its the night time attacks that are the problem. As usual with us us 1 hour (to the minute!) after i close my eyes to sleep they start and then continue every time i nod off. Im currently taking 200mg of verapamil (before bed) and melatonin.

Im at my wits end! im getting around 1 or 2 hours broken pain filled sleep a night and im not sure how much more i can take. If i nod off in the day the same thing happens, im staying awake for 1-2 days straight but that seems to make it worse. I cant think straight,cant concentrate, im permanently on a short fuse my head is constantly sore,my appetite has dissapeared,im living on red bull,coffee and pro plus! i occasionaly get 3 or 4 hours then seem to have a good day but f**k does it make me pay for it after!! I cant work because im permanantley exhausted but after 5 weeks off things are getting desperate!!

Can anyone recommend anything for the night attacks.If i can sleep i can take anything the beast throws at me but the lack of it is driving me insane,theres no let up! The more tired i get the worse the night attacks seem to be but i cant get any rest to make them better. After a month without sleep things are starting to get REALLY funky.

At this point if knocking a 6inch nail through my skull would make this go away id do it with a smile on my face and think myself lucky for it! F***K, the way i feel right now i may just try it!

HELP HELP HELP HELP HELP HELP HELP HELP HELP

At this point i just want to say that i have the BEST wife in the whole wide stinking world! She has been nothing but a pillar of support help and understanding. Im a 6ft 14 stone lump of growling misery and she has nothing but smiles for me.

Sonia I love you. There arent words to express my gratitude!

Thanks for reading my rant,its helped!

Any practical help or advice would be massively appreciated.My appologies if it doesnt make sense at times - its taken an hour to type, i just cant focus man!!!


Simon.
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midwestbeth
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #1 - Jul 5th, 2010 at 1:13am
 
Click on the Oxygen info link on the left.

Nighttime attacks are horrible to deal with.  02 helps most people knock out the beast within 10 minutes.  Drinking an energy drink with taurine (Red Bull, Monster) also helps at the first sign of a ch.

Continue to read and read some more.  There is a wealth of info here.

Give Sonia a big hug.  She sounds like a keeper.  Smiley
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #2 - Jul 5th, 2010 at 2:24am
 
Red Bull might also keep you awake at night if you're not used to the caffeine, but you'll probably find that your body gets used to it pretty quick, so don't rule this out as an option. I know it works wonders for me late at night.
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calisto
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #3 - Jul 5th, 2010 at 2:53am
 
Hi guys

Many thanks for the advice but i use o2 and red bull regularly (ive already got through almost 60 cans so far this cycle and dont think i can stomach any more). i can get through a tank of o2 in one night (15ltr min with my own rebreather mask) as once the initial sleep attack hits i get one as soon as i settle down to sleep again and this will continue until i eventually give up and stay awake but i cant stay awake for ever. At the moment one hits as soon as i nod off to sleep - day or night and i simply cannot get any rest and dont know what to do.

Im after more of a preventative than an abortive - even if it shunts the attack to the daytime at least im awake then to deal with the initial signs.

i dont know how much longer i can continue without being able to sleep,its impossible. Its not that i dont try to sleep, its that im constantly woken up in pain as often as every 10 mins. I cant remember the last time i dreamt and if im not dreaming im not resting.

Does anyone know any meds that may help so i can ask my doc for some?
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #4 - Jul 5th, 2010 at 6:05am
 
calisto wrote on Jul 4th, 2010 at 11:40pm:
Im currently taking 200mg of verapamil (before bed) and melatonin.


Episodes work their way in to a peaking period sometimes, what seems the worst part of it.  At this time, the ways we deal with CH to get by may come up short. 

The verapamil dosage you're taking may not be effective enough.  Whereas a certain dosage might usually hold, I've had to move up gradually higher at times to get relief, in fact to 720mg divided up in a day for short periods. 

Before thinking the verapamil might not be effective, ask your doctor if the dosage could be increased gradually since your system is already familiar with it now.  That is, if you've not had side effects that may limit this option.
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neuropath
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #5 - Jul 5th, 2010 at 6:38am
 
You may want to consider a long-lasting triptane to catch up on some sleep. Versus imitrex, zomig etc. these have a half-life of 24hrs. They have never worked 24hrs for me but can yield 8-10hrs. Not a long-term therapy but maybe useful for a few days to get the tiredness out of your bones if other prevents arent doing the job.

Consider discussing Verapamil dosage with your doc. 240mg strikes me as low. Many here take 480mg and upwards for effective prevention.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #6 - Jul 5th, 2010 at 7:46am
 
It's not clear whether you are using Verap. from time to time in an effort to block night attacks OR are you taking this dose every day for long term prevention. If the former use, it won't work. This med takes some days to become effective and it requires rather higher dosing for CH prevention.

An old med which is helpful--if you can find it (check with the drug store)--is ergotamine, 2mg SL. Dissolved under the tongue about one-hour before bedtime, it often blocks night attacks and attacks which are triggered by exercise, etc.--any activity which raises the body temp.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #7 - Jul 5th, 2010 at 8:36am
 
Hi Calisto sorry to hear you are having such a hard time.

I would definitely ask your doctor to UP your verapamil asap.  200 mg a day seems like a low dose to me.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #8 - Jul 5th, 2010 at 10:06am
 
Give your doc a call and let him know you're getting creamed. When nothing else would work I'd occasionally go on a prednisone taper, in the middle of a cycle, just to get caught back up on rest.

As others have mentioned, your verapamil dose is relatively low. Some on the board go as high as 960 mg a day to get relief. A short 10 day prednisone taper should give you a break from the beast while he ratchets the verapamil dose up. Hang in there. Cry

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calisto
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #9 - Jul 5th, 2010 at 11:38am
 
Wow guys what can i say but thank you. the response has been fantastic.

Ive tried steroid tapers before and it did nothing. Ive got an app with my doc tomorrow but i cant go through another night like this. im going to try upping my verapamil dose tonight,not a huge amount just up to about 280 and then increase gradually.rather than take it all before bed im taking smaller amounts throughout the day. ive been on it for a month now and i feel fine so i should be ok to increase. I agree about the doseage it is rather low. i havent increased earlier because my cycles normally ended by now and ive usually managed without it. At this point ill try anything.

On a lighter note, my wife said before she left for work,

"youre not going to do anything silly are you?"

"like what?" i replied

"like knocking a nail in your head!"

that got the only response it could,

"silly arse!!!!"

(im always saying id willingly knock one in if itd stop it and you know what? i would!!)

With regards to the ergotamine, can i use it with imigran and is it available in the uk? Anyone know the doseage cos i doubt my doctor will but she will take advice cos she knows how long ive had ch's and knows im not silly with my meds.

Again a big thank you to everyone whos taken the time to post a reply.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #10 - Jul 5th, 2010 at 12:07pm
 
Are you taking the sustained release version of verapamil, or the standard, "all at once" formulation? If you don't know, you should find out. Then insist on the "all at once," non-sustained type. It has been proven to work much better for CH.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #11 - Jul 5th, 2010 at 1:01pm
 
You CAN NOT take ergotamine with any triptains such as imigran in your system.  The side effects can be deadly.  Your heart just can not take it.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #12 - Jul 5th, 2010 at 2:49pm
 
Karla, a single 2mg dose of ergot. is not a threat. Using both triptans and ergot. on a daily, full dosing basis--yes, not good.

But, since ergot. is a prescription med, she will--as we all should--discuss our meds use with our docs.
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« Last Edit: Jul 5th, 2010 at 2:51pm by Bob Johnson »  

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Re: Nitetime attacks.For the love of god someone HELP!
Reply #13 - Jul 5th, 2010 at 3:30pm
 
Brew wrote on Jul 5th, 2010 at 12:07pm:
Are you taking the sustained release version of verapamil, or the standard, "all at once" formulation? If you don't know, you should find out. Then insist on the "all at once," non-sustained type. It has been proven to work much better for CH.


Correction: Sustained Release Verapamil doesn't work for Some CH sufferers but in the right dose does work for others.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #14 - Jul 5th, 2010 at 3:57pm
 
JustNotRight wrote on Jul 5th, 2010 at 3:30pm:
Correction: Sustained Release Verapamil doesn't work for Some CH sufferers but in the right dose does work for others.

Correction: Sustained Release Verapamil doesn't work very well for the vast majority of CH sufferers. If it works for you, good on ya. Please don't miss my point.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #15 - Jul 5th, 2010 at 5:18pm
 
Didn't miss your point Brew,  Wink  just wanted Calisto to be aware that SR Verapamil does work for Some CH sufferers.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #16 - Jul 5th, 2010 at 5:35pm
 
Obviously, whatever form he's taking is either the wrong type or not enough.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #17 - Jul 5th, 2010 at 5:49pm
 
Too True   Wink
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #18 - Jul 5th, 2010 at 8:38pm
 
I'm tailing off finally from a cycle that has lasted 2 months, the worst one ever.  Prednisone and verapamil have been effective in getting this under control, but the Dr. had to increase the verapamil three times before any effect.  480 mgs. seems to be getting it under control for me so people's advice about discussing increased dosage seems to be appropriate.  The only way I was able to get any sleep was with Lunesta.  Up until a week ago I hadn't slept more than an hour or two - same stuff you describe.  Hang in there, good luck.  George
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #19 - Jul 5th, 2010 at 9:31pm
 
God bless, Calisto!
I could have written this post 3ish weeks ago - I was a mess - desperate. 

Episode is still continuing - going on 8 weeks - but Verapmil (240mg total) and cyproheptadine (12mg total) three times a day with magnesium (400mg) and just a touch of lamictal (25mg) before bed have at least mostly brought them under control.
I'm taking a bit unusal med regimen because I'm pregnant  Cheesy  but it is working pretty well...

I slept 6 hours straight last night before waking up with a CH - but heaven knows, that is fantastic compared to where I was...

Please hang in there and let your doctor know that you need help.  It WILL get better!!!!!!!
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #20 - Jul 6th, 2010 at 4:52am
 
WOOOOOOOOOOO HOOOOOOOOOOOOOOOOOOOOOO!!!!!!!!

7 HOURS SLEEP AND FEELING GROOVY!!!

Increased the verapimil slowly over the day to 280mg worked a treat! it could just be a flash in the pan so im going to increase that to 320mg today. I can feel the beast crawling around behind my eye and in my neck but its only niggly and isnt getting any stronger. Ive slept and i feel good.

SO COME ON YOU HAIRY ARSED BASTARD YOU WANNA HIT ME TODAY GIVE IT YOUR BEST SHOT COS IM READY FOR YA!!!

The suns out (in enland honest!) the birds are singing and all is groovy,at least for now.

A BIG thank you to all replies and advice. What a difference a nights sleep makes!

Ive got a medical on monday for my immigration visa ( to Australia) does anyone know if the verapamil will effect the result of any blood tests?
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #21 - Jul 6th, 2010 at 5:12am
 
Quote:
Ive got a medical on monday for my immigration visa ( to Australia) does anyone know if the verapamil will effect the result of any blood tests?

Yes. You will have verapamil in your blood. Grin

Glad you got some sleep. Feels great, eh?
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #22 - Jul 6th, 2010 at 5:20am
 
Well i kinda guessed i would have verapamil in my blood but the leaflet inside the tab box said it could affect the outcome of a blood test.

Im seeing my doc later today,ill ask her.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #23 - Jul 6th, 2010 at 5:28am
 
Dude - It was a joke. I thought you'd be in the mood for a joke after a great night's sleep. That's the reason for the little laughy face guy at the end.

I have no clue what it might do to the results of a blood test - I guess it kind of depends on what they're testing for.
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Re: Nitetime attacks.For the love of god someone HELP!
Reply #24 - Jul 6th, 2010 at 6:00am
 
Ahhhhh Poor Calisto has been initiated !   Grin Grin

Glad you got a good nights sleep it's about time!

Be PF!
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