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Hello to this brave group!! (Read 2059 times)
Kiri
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Hello to this brave group!!
Jan 17th, 2012 at 2:07am
 
Hi everyone,

I am a 39 year old female. I live in Wa state. I was diagnosed with CH 11 years ago after six weeks of pure hell. I went to many doctors, dentist, ENT etc and finally ended up in the ER. CT of the brain was normal.

The ER doc said I may have CH and to go to a regular doc and ask him about it. So I did. This doc had just returned from a headache seminar and said I was textbook CH. He gave me some Imitrex pills...thank you Jesus for those. He really didn't tell me much else about the condition. Just a few days later my cycle ended. I thought it was because I switched from menthol cigs to Marlboros. HA! Imagine my suprise when the bastards came back two years later.


So my cycle usually starts in either oct/nov/dec and lasts from 3 to 6 weeks. They come about every two years. They started again on Dec 19 2011. This year I decided to do some reasearch about them and found this site. THANK YOU for being here.

So I realize I am lucky in some ways. I am not chronic and I do not get woken up with a headache in the middle of the night. If I take no meds, I will get 6 to 7 headaches a day. So what I do is...take 50mg Imitrex pill right when I get up. Then I take another one in the middle of the day if I feel the head ache starting. Then I take another one at around 10:00 pm when the night head ache starts.  This sorta works... but at least once a day the head ache will come on too fast and I spend 20 to 30 min with the nose pain, swollen leaky eye, sore teeth, and ice pick to the temple and brain. (right side only) I also spend most of my day with mild/moderate shadows and right side nasal pain. Today I feel like someone punched me in the eye and nose. I am soooo tender.

This year my insurance is paying for the imitrex with no questions asked.  In previous years I would beg and borrow money for them since my insurance said I was taking too many.

I now realize this is not the best way to manage these headaches. But it was really the only way I knew how to get through life ya know?

I now have a new doctor. He refuses to prescribe Imitrex for me. I have 10.5 100mg Imitrex left from a previous script.  He says I am taking too much and that I need to see a HA specialist. I agree. So I am going to make an appointment tomorrow. I just wish he would have given them to me in case it takes longer than 5 days to get in to the specialist. If i need to, I will go to a walk in clininc and get some.

I am trying to keep up a positive attitude but its hard. NOTHING compares to this type of pain. There are no words to describe it. And no way to explain the anxiety/worry I feel about hoping to prevent the next one.

The only sure triggers I have managed to figure out are alcohol, opiates, and diet coke for some reason. Not caffeine, just diet coke. When Im in pain and waiting for the Imitrex to kick in I sit in my rocking chair, tilt my head back, rock in the chair, press my right temple and focus on breathing. I supress the feeling of painc that makes me want to jump out of my chair and bash my face in to the wall. Sadly, I have had lots of practice and just sit and rock.

I have not tried the red bull because I hate red bull. But screw it...Im gonna try it tomorrow. I did start the vitamin d/fish oil almost two weeks ago. The second day I was pain free. Then everything came back. Im not giving up on it though.

I have been an RN for almost 7 years so you would think I would be ahead of the game...NOT. I have never seen a patient that has CH and most docs have no clue.(although I work very part time on a cancer floor of a hospital.)

Sorry I just wrote a book about this but it feels good to let it out...to those who will understand.

Wish me luck with getting in to the headache specialist. I am praying he gives me some prednisone at least. It may be too late for verap since my cycle should be ending soon. I would also love to try oxygen.

Thank you again for "listening" and being here. I wish you all pain free and happy days.


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wimsey1
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Re: Hello to this brave group!!
Reply #1 - Jan 17th, 2012 at 8:11am
 
Hello, Kiri, and welcome. Sorry you are here, but glad to have you aboard. It sounds as if your doc is steering you in the right direction. Imitrex isn't meant as a preventative but rather as an abortive. And you'll find the injections work much quicker than do the pills. I suspect you will be offered something like verapamil, or topamax. Both are used pretty extensively for the prevention of CHs. Just be aware that many of us require much higher doses than when prescribed for label use. I started at 230mg/day for verapamil, and now find some success at 640mg/day. I would really push for the O2 when you can. It has been a major godsend. With the right equipment and technique, abort times have gone from 30 minutes or so, to about 2-3 minutes. Major difference! I use Monster because I like its taste better than Red Bull. Starbucks has also come out with Doubleshot which is also a taurine energy drink but coffee based. Good luck with your appointment, and be sure to let us know how it turns out. God bless. lance
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Purple (head404)
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Re: Hello to this brave group!!
Reply #2 - Jan 17th, 2012 at 12:47pm
 
Hi Kiri.
Just wanted to raise a weak hand to wave at ya. I'm presently knocked by tons of meds I'm not really used to take (see my other posts), my heartbeat down to 50... feeling terrible and still experiencing a crisis every night (just one though).

I find my CH is changing as the years go by. I can now sleep a little longer before a crisis. Pain has shifted and never affect my eye anymore.

I registered to this forum just a couple days ago. I will try the energy drink today... had never heard of that option.

I fell on posts about low testosterone levels and I'm reading more on that subject now. I will try to have blood tests done as I feel this could apply to me.
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Kiri
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wa state
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Re: Hello to this brave group!!
Reply #3 - Jan 17th, 2012 at 1:07pm
 
Thanks for the warm welcome guys,

I have just called the HA specialist and am awaiting a call back. It is snowing here (rare) so people are probably having trouble getting into work. Praying I can get in fast!
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Bob Johnson
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Kennett Square, PA (USA)
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Re: Hello to this brave group!!
Reply #4 - Jan 18th, 2012 at 11:28am
 
Mucho relief! that you are seeing a specialist. As you suspect, your treatment plan is incomplete but give the new doc a change to show his skills before starting to play with new responses.

See PDF below, for the kinds of treatments you may expect.

With your medical background, expect you might find this read of value:

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register
ALL NEW!! HEADACHE 2010-2011
Robbins Headache Clinic

Free, 50-page. Covers all major headache Dx and
related issues.

In a PDF file.
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Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register (96 KB | 16 )

Bob Johnson
 
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Kiri
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Re: Hello to this brave group!!
Reply #5 - Jan 19th, 2012 at 4:19pm
 
Damn! Cant get in to the HA specialist until Jan 31. Looks like Im gonna be hittin the streets for some Imitrex to get me by. I have noticed that the attacks are getting a bit weaker though....hopefuly this cycle is ending. Even if it does Im still going to that appointment. Next time I vow to be well prepared. I will update after I see the doc. PF days to ya all!!!!
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Matt Miller
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Re: Hello to this brave group!!
Reply #6 - Jan 20th, 2012 at 6:10pm
 
Good luck Kiri!
I am hoping your cycle is coming to an end too. And hopefully the HA Specialist will be able to come up with some better treatments for you Smiley Just wanted to stop by and offer my support!

PFDAN!
-Matt
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Guiseppi
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Re: Hello to this brave group!!
Reply #7 - Jan 21st, 2012 at 10:11am
 
A late welcome Kiri, but welcome! My guess is your cycle is weakening due in part to the "Batch Regimen." The daily D-3 fish oil etc. stuff. It's worth sticking with it as the sheer numbers of success stories has kinda blown the coincidence thng outta the water.

If you're at work next time a hit starts, get thee to some 02. My aborts average 6-8 minutes just huffing 02. The keys:

100% oxygen, at a flow rate to encourage hyper-ventilation, started at the first sign of an attack.

So nasal canulas, re breather masks, low flow rates, all recipes for failure. I use a demand valve, others find they only get relief at flow rates over 15 LPM, some as high as 45 LPM so don't be afraid to experiment.

joe
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Kiri
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Re: Hello to this brave group!!
Reply #8 - Jan 21st, 2012 at 5:50pm
 
Joe,

Yeah, Im not gonna stop the vitamins. I do feel like my mood is better since I started them.

I was at work the other night and I started feeling the nasal pain, my sign that an attack is coming. I asked the charge nurse if she would mind if I used some oxygen to see if it would work. I had told her about CH and she actually knows about it. She has been there 35 years and remembers a few patients admitted for CH. At the time there was nothing much they could do for them.

Anyway, she would not let me use the oxygen since it is a "prescription" and we could both get in trouble. I understand and didn't push it.

Well Im just waitin for my appointment, living on Imitrex for now!
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Batch
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Re: Hello to this brave group!!
Reply #9 - Jan 22nd, 2012 at 7:44pm
 
Hey Kiri,

A belated welcome aboard...  Where in Washington?  I live near Bremerton.  Check your PM inbox.  Your GP should be able to write you an Rx for oxygen therapy...

Take care and please keep us posted.

V/R, Batch
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You love lots of things if you live around them. But there isn't any woman and there isn't any horse, that’s as lovely as a great airplane. If it's a beautiful fighter, your heart will be ever there
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Linda_Howell
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Santa Maria, Ca.
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Re: Hello to this brave group!!
Reply #10 - Jan 23rd, 2012 at 11:37am
 
Hi and welcome,

  I'm very surprised that Imitrex pills worked for you, even if only slightly.  They are meant for Migraines and take so long to get into your system that the CH is over long before the pills can start to work.  Plus..like someone already said, they aren't used as a preventative, but as an abortive.  You will be much better off asking for Imitrex nasel sprays or injections.

To the left of here are links.  Please read the 02 link in yellow.  It will tell just about everything you'll need to know and tell your Dr.  Oxygen with a high-flow regulator and a non-rebreather mask is a savior for so many of us.  If I can get on it at the first twinge..I can abort in under 10 mins.  02 is safe, cheap compared to the cost of some of the meds we take, has no side-effects and it works like a charm.  Any Dr. with an MD after their name can prescribe it.

Quote:
Just a few days later my cycle ended. I thought it was because I switched from menthol cigs to Marlboros
    I'm not making fun of you but I have to say that made me really laugh.   Grin

You're very lucky to actually get in to see a specialst in such a short time.  Most of us have had to wait months to be seen.  Please DO let us know how your appt. goes.

Linda

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Kiri
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Re: Hello to this brave group!!
Reply #11 - Jan 23rd, 2012 at 6:08pm
 
Linda,

I laugh about the cigs too! If only Marlboros were the cure!!

I do think the Imitrex works more as a preventive for me. I just keep my body loaded up on it. This morning I woke up in pretty bad pain. I took the imitrex and it took an hour to work. So I will take it at the VERY FIRST sign Im getting a headache. Just one small nasal sinus twinge and I am running for the pills. That usually gives me enough time.

Tomorrow I will be out of Imitrex. Since I don't have my appointment with the HA specialist until the 31st I just made an appointment with my old GP for tomorrow. Hes the one who diagnosed me 11 years ago. I don't really like him but at least he knows about clusters. At the very least I hope he will give me some more Imitrex. I will ask for oxygen and prednisone though.

I keep forgeting to buy some damn Red bull! Im going to buy one tonight!
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Linda_Howell
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Re: Hello to this brave group!!
Reply #12 - Jan 23rd, 2012 at 6:55pm
 
Kiri,

Please check your PM's up above on the left.


Linda
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Hurt people.....hurt people.   Think about it.
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Kiri
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Re: Hello to this brave group!!
Reply #13 - Jan 24th, 2012 at 8:02pm
 
Ok, so I just got back from the doc (GP). He seemed pretty willing to work with me. He wants me to try Prednisone. He thinks it will break the cycle. He told me that if the pred didn't work in the next few days to just come back to him.

He said he has 4 patients with CH. One patient told him he wanted to blow his head off with a gun. This doc knows how painful they are.

I told him I was an RN and that I had been reading and learning alot from this site. He seemed intrested and asked what I wanted for pain. I just asked for my trusty old imitrex pills for now. I thought about asking for the nasal spray but I got kinda scared....what if it didn't work or I use too much? At least the pills somewhat work and the insurance is paying. If the prednisone dosent work then I will figure out what to do next.

I did buy a red bull last night. So this morning I woke up with a K2. I ran for that red bull and drank it as fast as I could with 50 of imitrex. Oh my it was gross. It seemed to confuse the beast. I got flashes of pain in different areas for a while nose/eye/temple until the pain finally settled in. It never got higher than a K5 and was gone in 25min. So I cant say it aborted it but it wasnt as bad as yesterday morning...I was in agony for an hour. I will try it again with a larger can if I need to. I only got the small can.

So Im gonna print out some good stuff from this site and give it to that doctor. Some oxygen stuff and even some clusterbuster stuff too. Who knows...maybe I can help one of his other patients while helping myself.

Thanks to you all for listening...I feel lucky that my husband has good insurance and that I have some options to help me deal with this living nightmare. PFDAN to all.
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Kiri
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Re: Hello to this brave group!!
Reply #14 - Jan 26th, 2012 at 4:22pm
 
Well I have just taken my 3rd dose of Prednisone(60mg) ...It is working. I have had no CH since the first dose but I have had a low grade all over headache until this morning. Im also eating like a champ and am not sleeping that good.
Oh well, I will take any pred side effect over a CH right now. We shall see if the CH comes back when the pred taper gets lower/is over. I think I will still go see that HA specialist either way just to get established and see what he will say. I will let ya all know what happens!
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Guiseppi
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Re: Hello to this brave group!!
Reply #15 - Jan 26th, 2012 at 6:41pm
 
Great to hear the pred is helping...with a big red flag warning!!!!!!!

For a very small percentage of CH'ers, a short pred burst will actually break a cycle. For the vast majority of us, it only works as a block. What we call a transitional medication, meant to be taken while a prevent builds up in your system.

For  me prednisone at doses as low as 30 mg a day.....I'm completely pain free. As soon as I go off the pred, the beast comes back with a vengeance, like he's trying to make up for lost time. Please have a back up plan in place, in case the pred does not break the cycle. The hits I got coming off the pred were the worst attacks in 33 years of having CH. I say this not to scare you, but I'd hate to see you caught flat footed when you come off the pred.

Hoping you're one of the lucky ones and it crushes the cycle.

Joe
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