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Is it worse at the end of a session (Read 876 times)
Clustermom
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Is it worse at the end of a session
Oct 25th, 2010 at 3:09pm
 
Hi everyone I'm new here, my son has suffered since he was a senior in high school and he is now 24, we have searched far and wide for help, we don't have insurance but we get by somehow, thank God, does anyone believe that the clusters get worse right before the end of a session?
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Guiseppi
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Re: Is it worse at the end of a session
Reply #1 - Oct 25th, 2010 at 4:45pm
 
Yes, no, maybe!!!

Some on the board get a spectacular 4th of July Fireworks grand finale hit, and that tells them the cycle is ending. Others like me, they slowly fade away with the attacks getting less severe and farther apart, others have a combo of the two.

Experience is the best measure, but with the way beasty likes to morph, certainly not a guarantee. Cry

Sorry you have to watch your boy rock thru these, I always worry my girls will develop them. You said you do not have insurance now, I assume we have a prior diagnosis of CH, all other more sinister maldies were ruled out? I say that because we are always worried about a self diagnosis, we spend a year or two helping someone mask symptoms of a more serious malady....not a good thing. Give us a whisker of history when you get a second, what has and hasn't worked etc., maybe we can throw some suggestions your way. Hang in there mom. Smiley

joe
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mikstudie
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Re: Is it worse at the end of a session
Reply #2 - Oct 25th, 2010 at 5:16pm
 
Mine seem to get lighter at the end, but as Joe said you never know. And one thing I have learned is just that,you never know..

Good Luck.
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Clustermom
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Re: Is it worse at the end of a session
Reply #3 - Oct 25th, 2010 at 10:33pm
 
Thanks for the help, he was truly diagnosed withCH finally after suffering for around 2-3 years, it seems as thou for him that when they start he can sometimes pass them off with lots of water or caffeine, he takes Verapamil as a preventive, it helps until the middle of the episode then it's a Imitrex shot for sure! I just worry on the days when he has more than 2, he can't take another shot for 24 hrs... Cry, it just worries me because he just got done with college and we had to fill out a disability paper for them and after a few arguments they understood and allowed him some absences because of them, but now a job?? I hope he can find one that will understand? Do you tell them or not?
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Re: Is it worse at the end of a session
Reply #4 - Oct 25th, 2010 at 10:33pm
 
Thanks for the help, he was truly diagnosed withCH finally after suffering for around 2-3 years, it seems as thou for him that when they start he can sometimes pass them off with lots of water or caffeine, he takes Verapamil as a preventive, it helps until the middle of the episode then it's a Imitrex shot for sure! I just worry on the days when he has more than 2, he can't take another shot for 24 hrs... Cry, it just worries me because he just got done with college and we had to fill out a disability paper for them and after a few arguments they understood and allowed him some absences because of them, but now a job?? I hope he can find one that will understand? Do you tell them or not?
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Linda_Howell
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Re: Is it worse at the end of a session
Reply #5 - Oct 25th, 2010 at 10:44pm
 
Hi Mom,

I applaud you for looking up and researching this on behalf of your son.   Most of us sufferers would lie in a puddle if it weren't for our supporters.

Whether to tell them or not is a real concern.  What type of career/job   is he looking at going into?  If your son is episodic and has oxygen as an abortive, as well as possibly Imitrex for a really fast abortive...he may get by.

Please let us know.  Many, many here have walked in those shoes and have a better "take" on this problem than I...but we are all here for you and your son. 

Bless you Mom...you're doing good. Wink  I've had 7 kids, I know exactly what you're feeling right now.   Cry
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Re: Is it worse at the end of a session
Reply #6 - Oct 26th, 2010 at 2:36am
 
Try the Imitrex Tip to the right of this section...it will give him more shots in a day and cost less.  I never considered mentioning it to prospective employers because I only have the headaches once or twice a year for 8 weeks and usually at night.  I taught school successfully for 31 years and it only interfered significantly a couple of times.  Other times, I was just not up to par during the middle of the eight weeks.   And this was before Imitrex or Verapamil use.  Good luck...I know it is a worry!!!
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Guiseppi
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Re: Is it worse at the end of a session
Reply #7 - Oct 26th, 2010 at 9:55am
 
Maintaining a career with episodic CH, it's certainly a balancing act, but it can be done. If the verapamil is losing its effectiveness, talk to the doc about either switching to lithium, upping the dose of verapamil, or adding lithium with the verapamil. The combo has helped some when either alone wasn't cutting it. The nice thing about lithium is it's cheap even with no prescription coverage.

Read the oxygen info tab on the left and pay special attention to the welding oxygen info. It's the same 02 as the medical grade, just different tanks, many on the board use it and it's much cheaper. Oxyegn, combined with his learning the imitrex tip, will really stretch out the imitrex. These are the little things that can help you sneak thru a day at work when you're getting creamed.

A quick warning about energy drinks, you'll read a LOT about people using them to combat CH. Verapamil and energy drinks are NOT a good mix, and use of them should be very limited.

Thanks again for doing the footwork mom, any chance you can get him on the board so we can meet him? Wink

Joe
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Re: Is it worse at the end of a session
Reply #8 - Oct 26th, 2010 at 1:22pm
 
Guiseppi wrote on Oct 26th, 2010 at 9:55am:
A quick warning about energy drinks, you'll read a LOT about people using them to combat CH. Verapamil and energy drinks are NOT a good mix, and use of them should be very limited.

I was just about to chime in with that advice.  Nice job Joe!

As for working ... If he is episodic I'd suggest that he look for work right after a cycle.  Get in there and kick ass.  Make himself standout as a performer.  Then when the beasty shows up, let his employer in on the deal.  Don't miss a day if you can help it.  And when the cycle is over, kick ass all over again.

I have supported my family as a Software Engineer for 30 years now.  I developed episodic CH 15 years ago.  It took another 12 for me to get a diagnosis.  In that time CH has never lost me a job.

I keep an e-tank of Oxygen in my office and my coworkers have gotten to the point where it's just part of the business day when I'm in cycle.

You can lead a happy and productive life with CH.

-Dennis-
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Re: Is it worse at the end of a session
Reply #9 - Oct 26th, 2010 at 3:50pm
 
Energy drink and Verapamil info is good to know.Thanks..
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Katie C.
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Re: Is it worse at the end of a session
Reply #10 - Oct 26th, 2010 at 7:15pm
 
I tend to think that mine are worse toward the end, and they go from once a day to 2-4 times a day at their worst. I have also found that when they're on the way out they aren't as timely, don't go to a 10, and don't occur every day.

I agree about work. I've been at my current job for nearly 9 years. It's never easy to explain to someone new what's happening, but I have found that knowledge is the best weapon. After years of trying to tell my boss what I was going through I finally printed out some of the testimonials and stories as well as some medical info from this site and he was ready to hug me after he read it.

I am fortunate that I only suffer in the fall and usually only for a month or less. I rarely only miss a total of 4-16 hours of work for these, less than the average person misses for a cold... LOL

~ Katie
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Re: Is it worse at the end of a session
Reply #11 - Oct 27th, 2010 at 2:02am
 
Joni wrote on Oct 26th, 2010 at 2:36am:
Try the Imitrex Tip to the right of this section...it will give him more shots in a day and cost less.  I never considered mentioning it to prospective employers because I only have the headaches once or twice a year for 8 weeks and usually at night.  I taught school successfully for 31 years and it only interfered significantly a couple of times.  Other times, I was just not up to par during the middle of the eight weeks.   And this was before Imitrex or Verapamil use.  Good luck...I know it is a worry!!!


I just realized that I wrote this on the wrong thread...oops...sorry!
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Re: Is it worse at the end of a session
Reply #12 - Oct 27th, 2010 at 9:47pm
 
I read on here about mixing Verapamil and energy drinks.  I asked my doc if it was safe and he said it was fine.  What is bad about it?  Thanks in advance!
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Re: Is it worse at the end of a session
Reply #13 - Oct 27th, 2010 at 11:46pm
 
Energy drinks like Red Bull contain taurine which is a calcium channel antagonist, just like verapamil. So drinking an energy drink is a just like taking more verapamil. Since there is a link between high doses of verapamil and some heart issues it isn't a good idea to over use energy drinks whilst on verapamil.

I'm on 480mg of verapamil and will often have a red bull most days, but I'd not want to have more than two per day.

Try talking to your pharmacist about this as they often know a lot more about drug interactions than doctors.
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Re: Is it worse at the end of a session
Reply #14 - Oct 28th, 2010 at 7:52am
 
Mike, what you say is good common sense. On the other hand, I did run several drug interaction checks available on-line (admittedly weak as a trusted source) and found that verapamil and any caffeine product was potentially harmful, though often used together, because as you say it could increase the effects of verapamil.

However, I did find a severe interaction indicator between verapamil and grapefruit juice:

Quote:
Avoid taking Verapamil with grapefruit juice. Grapefruit juice and grapefruit-containing foods may increase the effects of Verapamil. If your heart rate or blood pressure drops too low while taking this medicine, you may become dizzy or feel faint; do not stand or sit up too quickly. Contact your prescriber if you have dizziness which does not go away while taking this medicine. If you notice new or increased swelling of your legs or ankles, tell your health care provider.


Would this hold true for any citric acid or does grapefruit juice have a unique property?  lance
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