I'm currently on a really low dose of Verapamil, only 80mg (40 in the morning and 40 at night). My neuro didn't want to start me on a high dose because my blood pressure is normally good or even low. My CHs have been greatly reduced to a mild one in the morning and some shadows during the day. However, the dose I'm currently on is already making me super exhausted and I get lightheaded if I stand too quickly. So my question would be if it would even be worth it to increase my dose and risk lowering my bp even more? I can usually handle the morning CH with tylenol but I'm getting worried about taking it every day. I'm going to give my neuro a call on Monday about this, I just wanted to get some opinions on here until i get to talk to him.

I agree with Bob. If 80mg achieve a sufficient reduction in your CH intensity there is in my view no need to increase the dosage.

Many people here operate on 480mg or so per day (others need even more) to achieve complete suppression.

It is a sensitive discussion here and elsewhere whether or not Verapamil has the potential to negatively alter the longterm course of CH and though no scientific evidence exists for either argument my personal view is to keep the dosage as low as possible and to taper back off as quickly as is appropriate and feasible.

Good luck

I dreaded going down the path of prevent meds (due to a previous bad course), but it turns out a little Verapamil did wonders for my CH.  It sounds like you also were lucky enough to respond favorably.  Discuss it with your doc.  I hope you can find the balance with neither the CH nor the drugs affecting the quality of life.

I wish you many PF days...