Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:1 - Is there anyone in Georgia here and does the weather (barometer) affect CH make it worse (like at this moment)
I'm not in Ga. but that is a Yes on the barometer for many, this can play hell with travel plans either by car or plane. Just make sure he has a good Abortive such as O2 or Imitrex.
Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:2 - My son is on O2 but at 8 LPM. It's not working that well anymore, do you think he needs more LPM.
Yes that is to low he will need 25 lpm or higher.
Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:3 - What is the best preventative. He is currently taking topamax, 200 mg per day (100mg in the morning and at night). When his Dr. changes the dose, it helps for about 2 days then he back to where he started.
Not sure about the "best" prevent but the most widely used with success is Verapamil in varying doses.
Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:4 - The Dr. just put him on Amitriptline. Is anyone else on this and does it help?
Amitriptyline doesn't help with CH but is a muscle relaxant, I am assuming the Doc gave it to him to help him sleep. (Amitriptyline can trigger more CH hits in my experience so I stopped taking it years ago.) It would be better to use Melatonin or an over the counter allergy pill like benadryl or zyrtec before bed to help avoid night time hits.
Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:5 - Nothing is making the headache go away now...not O2, not redbull, not maxalt, not sumatriptan, not cambia. Suggestions...
Sumatriptan will help in shot form or nasal (nasal takes longer to work normally) O2 will work in a higher lpm than he is at right now.
Erics.Parents wrote on Nov 18th, 2010 at 1:18pm:6 - Triggers???? got any suggestion on these also. We've tried taking him off chocolate, dairy, wheat, oranges, bananas, tomatoes and doesn't make a difference. He goes to bed and wakes almost the same time everyday.
The only known agreed upon food/drink type trigger is alcohol. Your son may have other things that aggravate his CH he will need to pay close attention to what he does ingest to figure them out as each person is different. MSG is a known trigger for migrainers and is found in may things, chips, processed meets, soups, packaged gravies, Chinese take out etc. You'll need to read labels to see if they contain Monosodium glutamate. The best way to tell is to cut these items from his diet, if you notice a down tick in the number of CH hits then you'll know its probably an aggravation for him.
Good Luck and I hope some of this helps.