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120 MG Taper of Prednisone! (Read 3282 times)
Eroc
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120 MG Taper of Prednisone!
Nov 27th, 2011 at 7:04am
 

I am at the end of week two of the worst cycle I have ever had.  Getting 3 to 4 headaches a day and very little sleep.  02 is not working well either.  I have been on 900 MG of Lithium for about a week and a half now and the doc has prescribed me a 120 MG 15 day taper of the prednisone.  Has any one every used that much?  Am I going to go insane? 

I am a 230 LB 33 Y/O Male.  Drug facts say I should have 100 MG based on weight.   

I am going to start it for the first time in about an hour so we will see.  My neuro is one of them listed on OUCH's web site so he has seen this before. 

Thanks,

Eric Smiley
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EHanson1980  
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Re: 120 MG Taper of Prednisone!
Reply #1 - Nov 27th, 2011 at 10:28am
 
You will only take 120mg for a day or two on a 15-day taper.

I've done a 20-day taper starting at 100.  Overall it comes out to be about 930mg in 20 days.  If you add up what you'll be taking each day, it should come out to be similar, in a shorter time. 


Different preventatives work for different people.  Lithium for some, verapamil for others, and variously topomax.  A few have combined lithium and verapamil. 

Perhaps during this time a few Imitrex could help, but oxygen should work as an abortive, it can be a big help.  Has it worked before and your set up is with correct mask and flow?
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Eroc
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Re: 120 MG Taper of Prednisone!
Reply #2 - Nov 27th, 2011 at 10:44am
 
I am on 120 MG for three days then taper by 10 MG each day. 

Oxy works only for about an hour and then the beast returns with a vengance and O2 will then no longer work.   I do not have the correct mask so I am breathing o2 from a large plastic bag for 10 mins or so.  Basically untill I am too dizzy to breethe any more. 

2 hours after my first dose of Pred I got hit again.   I am averaging 3 to 4 4mg trex injects per 24 hours and am basically going nuts.

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Re: 120 MG Taper of Prednisone!
Reply #3 - Nov 27th, 2011 at 11:10am
 
Quote:
I am on 120 MG for three days then taper by 10 MG each day.

That comes out to a little over 1000mg of pred, almost 100mg more than I used overall.  Not out of the ball park.  I was wondering if he was going to alter your preventative during this taper.  The thought being, if lithium has not been effective yet, will it be after a longer duration, or will he add verapamil.  Have you tried other preventatives before, because lithium is not usually a first preventive med applied.  Some use it effectively but took a long while to discover it.


Quote:
I have been on 900 MG of Lithium for about a week and a half now


I've not used lithium, some here do and I'm sure more insight into its use will follow.  I don't know how much or how long it may take for results. 

Otherwise, maybe the doc is thinking the pred taper might break the cycle somewhat so this prevent level will hold better.  That said, there is a certain gamble to accept when the pred taper ends.



Quote:
I do not have the correct mask so I am breathing o2 from a large plastic bag for 10 mins or so.  Basically untill I am too dizzy to breethe any more.


I've not used that method, but make sure you breathe only the oxygen and exhale out of the bag.  Some just have a tube hooked up to the regulator and breathe directly from that.


Quote:
I am averaging 3 to 4 4mg trex injects per 24 hours


See if you can utilize the trex tip on the tabs over to the left.  This quantity of trex is hard to come by.  Some experience more hits with higher Kips when trex is employed very often.
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« Last Edit: Nov 27th, 2011 at 12:27pm by Kevin_M »  
 
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Re: 120 MG Taper of Prednisone!
Reply #4 - Nov 27th, 2011 at 1:26pm
 
Eric,

a Non-rebreather mask is required to effectively abort a CH attack, you can purchase one here on this website for about $28 bucks.  Go to the left side of your screen and click on the yellow tab titled "Ch.com store" to order.

Also, a regulator that will provide high flow rates of 02 is essential so that you can hyperventilate the o2.  Rates should be at least 15 lpm, ideally 25 to 40 lpm.  In a pinch, you could pick up a welders tank and welders regulator, same day, if you can't get the proper tank and regulator prescribed from your doc.  Are you using high flow rates?

Until then, as suggested above, only inhale o2 from the bag you are using.  Do NOT exhale into the bag you are using as the co2 you expel from your lungs at exhalation is the culprit of the pain and if you inhale the co2 that you've already exhaled, you are essentially not using o2 therapy correctly.

Might want to talk with your doc about adjusting your preventative meds in case the Pred does not break the cycle.  Don't wait!  The Pred is awesome relief for a week or so at the dosages you are taking, but prepare for the worst when the Pred taper is at lower mg dosages/complete.

Pred is prescribed as a transitional med to provide CH pain releif while the preventative med is titrating to effective therapeutic blood levels.

Not sure about Lithium dosages and/or how long it takes to reach therapeutic blood levels, but might talk to your doc 1st thing in the am.

Hope this info helps, Good Luck!

-Gregg in Las Vegas
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Eroc
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Re: 120 MG Taper of Prednisone!
Reply #5 - Nov 27th, 2011 at 4:30pm
 
All,

Thanks for the info.  To clarify:

I am exhaling out side of the bag.  I have a regulator that goes up to 15 LPM.  I find that if I really try to "huff" the o2 it cant keep up.  On Friday I tried to get my GP to prescribe the correct ammount and was basically laughed at.  I will certainly have a convo with the Neuro or his secretary in the morning. 

I am running out of trex 4mg injects and am also going to ask for/demand that they set me up with the vial and syringes to self dose at less than 4 mg. 

The addition of lithium in my opinion has done little to change or lessen the headaches and they have not established a well defined pattern as they usually have done in the past. 

That being said my doc has indicated that he has not had great luck with Verapamil in the past.  Would you think this should be requested and can I be on both at the same time? 

As I write this 8 hours after I took the first 120 mg of pred I am feeling another comming on.  That will be my fourth since 2 AM.  I am episodic with 2+ years between bouts. 

Thanks for everyone's input.

Eric
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Re: 120 MG Taper of Prednisone!
Reply #6 - Nov 27th, 2011 at 6:21pm
 
I use lithium as my prevent.  At 900 mg a day, it used to block up to 90% of my hits, over many years it's lost some of its effectiveness, I'm at 1200 mg a day now when on cycle and it blocks about 60-70% of my attacks.

Yes you can combine verapamil and lithium, we used to call it the "Chronic Cocktail". It's worked for many when nothing else was working.

Joe
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Re: 120 MG Taper of Prednisone!
Reply #7 - Nov 27th, 2011 at 9:58pm
 
Most of us get our own O2 regulators. And also buy the special O2PTI mask from this site that is made just for CH attacks. You can find regulators on Ebay and other places. Let us know if you need help finding one.

Don
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Though I walk through the valley of the shadow of the Beast , I  have O2 so I fear him not.
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Eroc
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Re: 120 MG Taper of Prednisone!
Reply #8 - Nov 27th, 2011 at 10:22pm
 


This is only my 3rd diagnosed bout.  And my first time trying lithium this early in the cycle.  As well as the first time trying the pred at all. 

I have not noticed a reduction in HA's as a result of the lithium.  Should I? 

I am concerned about the lithium levels and am going to contact the Neuro first thing in the morning.  I dont want to end up with a ton of HA's after the taper. 

I would rather be a drugged zombie that get another visit from the beast.  I know you all know what I mean. 

I have been following this as well as all of the CH related sites for years now.  This is just the first time I have really tried to be more active in searching for a sollution that works for me. 

I also have been doing the D3 and fish oil treatment and have had chiropractic adjustments to my cervical vertibrate for the last 3 years hoping that it was a nerve bone alignment problem. 

SkyHawk5 I would very much like recomendations for regulators.  I am an active e Bayer and also have years of experience working with welding equipment and gasses as I used to be a professional fabricator by trade.  I currently only have a small tank of o2 that was given to me.  It really doesnt have what it takes and I clearly need more that 15 LPM.  I did a quick search on E bay and was suprised to see how inexpensive they are.  I already have a scrip for o2 bulk tank but they really dont feel good about giving out a reg that goes up that high.  I dont remember if the medical o2 tanks use the same connection as the welding tanks. 

I cant thank every one enough for all of the information you are shareing to help me through this bout. 

Thanks again,

Eric
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Skyhawk5
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Re: 120 MG Taper of Prednisone!
Reply #9 - Nov 29th, 2011 at 9:40pm
 
Eric,
To get you a good start please read thru the following link. Marc on the site is our welding guru and Batch is also our O2 master.

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

Besides Ebay I personally bought regulators from Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register. They,re custom made and tell them you have CH. They go to 60lpm.

Don
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« Last Edit: Nov 29th, 2011 at 9:44pm by Skyhawk5 »  

Though I walk through the valley of the shadow of the Beast , I  have O2 so I fear him not.
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