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Allergy from good medication, any solution ? (Read 2435 times)
cch
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Allergy from good medication, any solution ?
Nov 20th, 2013 at 2:40pm
 
Hi,
I have very severe cluster headache and I tried many medications without any good until a doctor describe to me
topamax 50m, 3 times a day and it work after few weeks

When I become normal I stopped getting the dosage and after 6 months I start to get the seizures again so I start to take topamax but this time I developed a strong allergy, When I returned to my doctor, He tried to give two other different medicines but they did not work at all in fact they made the seizures more acute.

doctor opinion was to stop topamax but since nothing worked is there a solution for this allergy so I can return to take topamax again ?.

Thanks
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« Last Edit: Nov 20th, 2013 at 2:43pm by cch »  
 
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Guiseppi
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Re: Allergy from good medication, any solution ?
Reply #1 - Nov 20th, 2013 at 3:00pm
 
I'm a little confused and I suspect it's a language issue. When you say the seizures came back stronger, did you mean the cluster headaches came back stronger, or do you also suffer from a seizure issue in addition to the cluster headaches?

As far as overcoming an allergy to a medication, from what little I know about the topic the REVERSE usually happens. The allergy will get worse until you risk death from anaphylactic shock. Once you've identified an allergy to a medication I think I'd steer clear of it.

Some suggestions, the other medications the doctor tried you on, did they include Verapamil or Lithium? Both are common medications to help prevent cluster attacks, with Verapamil being the most popular. Print this out and take it to your doctor:

A widely used protocol. Your doc will recognize the source and author:

Headache. 2004 Nov;44(10):1013-8.   

Individualizing treatment with verapamil for cluster headache patients.

Blau JN, Engel HO.


    Background.-Verapamil is currently the best available prophylactic drug for patients experiencing cluster headaches (CHs). Published papers usually state 240 to 480 mg taken in three divided doses give good results, ranging from 50% to 80%; others mention higher doses-720, even 1200 mg per day. In clinical practice we found we needed to adapt dosage to individual's time of attacks, in particular giving higher doses before going to bed to suppress severe nocturnal episodes. A few only required 120 mg daily. We therefore evolved a scheme for steady and progressive drug increase until satisfactory control had been achieved. Objective.-To find the minimum dose of verapamil required to prevent episodic and chronic cluster headaches by supervising each individual and adjusting the dosage accordingly. Methods.-Consecutive patients with episodic or chronic CH (satisfying International Headache Society (IHS) criteria) were started on verapamil 40 mg in the morning, 80 mg early afternoon, and 80 mg before going to bed. Patients kept a diary of all attacks, recording times of onset, duration, and severity. They were advised, verbally and in writing, to add 40 mg verapamil on alternate days, depending on their attack timing: with nocturnal episodes the first increase was the evening dose and next the afternoon one; when attacks occurred on or soon after waking, we advised setting an alarm clock 2 hours before the usual waking time and then taking the medication. Patients were followed-up at weekly intervals until attacks were controlled. They were also reviewed when a cluster period had ended, and advised to continue on the same dose for a further 2 weeks before starting systematic reduction. Chronic cluster patients were reviewed as often as necessary. Results.-Seventy consecutive patients, 52 with episodic CH during cluster periods and 18 with chronic CH, were all treated with verapamil as above. Complete relief from headaches was obtained in 49 (94%) of 52 with episodic, and 10 (55%) of 18 with chronic CH; the majority needed 200 to 480 mg, but 9 in the episodic, and 3 in the chronic group, needed 520 to 960 mg for control. Ten, 2 in the episodic and 8 in the chronic group, with incomplete relief, required additional therapy-lithium, sumatriptan, or sodium valproate. One patient withdrew because verapamil made her too tired, another developed Stevens-Johnson syndrome, and the drug was withdrawn. Conclusions.-Providing the dosage for each individual is adequate, preventing CH with verapamil is highly effective, taken three (occasionally with higher doses, four) times a day. In the majority (94%) with episodic CH steady dose increase under supervision, totally suppressed attacks. However in the chronic variety only 55% were completely relieved, 69% men, but only 20% women. In both groups, for those with partial attack suppression, additional prophylactic drugs or acute treatment was necessary. (Headache 2004;44:1013-1018).

=======================================
SLOW-RELEASE VERAPAMIL

Dr. Sheftell applauded the protocol for verapamil used by Dr. Goadsby and colleagues, which entailed use of short-acting verapamil in increments of 80 mg. “This method was suggested by Lee Kudrow, MD, 20 years ago as an alternative to slow-release verapamil,” Dr. Sheftell noted.

“I would agree with using short-acting verapamil, rather than the sustained-release formulation, in cluster headache,” he said. “I prefer the short-acting formulation with regard to ability to titrate more accurately and safely. My clinical experience anecdotally demonstrates improved responses when patients are switched from sustained-release verapamil to short-acting verapamil.”

Dr. Goadsby agreed that his clinical experience was similar. “There are no well-controlled, placebo-controlled, dose-ranging studies to direct treatment. This is one of those areas where clinicians who treat cluster headache have to combine what modicum of evidence is available with their own clinical experience,” Dr. Sheftell commented



Have you tried oxygen as an abortive? I can stop an attack in about 6-8 minutes just by breathing pure oxygen, here's a link that describes how we use it:

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

Then check this out:

Follow this link to the medications section of this board and read the post 

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

It’s a vitamin/mineral/fish oil supplement, all over the counter stuff. It’s up to an 81% success rate of those who try it and respond to the survey so you’re just shooting yourself in the foot if you don’t give it a shot. I’m 3 years pain free on it after a 35 plus year track record with episodic CH. Best of all, it’s healthy for you even without CH!

As of January 20, 2013, the compiled raw data indicates an efficacy of 80%. 240 out of the 300 CH'ers who have started this regimen and stayed on it for a month or more have experienced a significant reduction in the frequency and severity of their CH... 78% of the 300 CH'ers experienced a pain free response and 60% of the 300 have remained essentially pain free. Episodic and chronic CH'ers respond to this regimen at roughly the same rate.

Preliminary survey results indicate most of these CH'ers were pain free before the end of the third week with some responding in a little as 12 to 24 hours. The average time to respond is five days


Joe
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"Somebody had to say it" is usually a piss poor excuse to be mean.
 
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cch
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Re: Allergy from good medication, any solution ?
Reply #2 - Nov 22nd, 2013 at 12:55pm
 
Thanks Joe,
Sorry for late reply, using my computer is very difficult and yes I am not native English speaker. What I have currently is one or two chronic attacks a day but I may get more like  previous year, I got up to 6 times a day, 4 to 6 weeks twice a year. Usually between seasons when temperature change.

About Verapamil or Lithium, No I did not get any of those but what I got was Topamax, Depakote and Tegretol, The last two made the attacks a lot more worse.

Now I take one of the ergots medicines it prevent the attack to last for a longer time but does not reduced the acute pain at all. However the last neurologist also prescribed to me a analgesic anti-imflamotry medicine and it was very good at reducing the time and pain but now because of using this medicine I developed an ulcer so I can not take it anymore.

About 02 I will need time to search for it as I don’t think it is available in consumer form in my country, like the one in your link but I will try.

The D3 regimen looks promising, Actually Google sent me here to this very topic when I searched for CH information. But because those high concentration vitamins does not exists in my country I bought them online from US and I will get them after 3~4 weeks with someone visiting.

Appreciate any advices.


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« Last Edit: Nov 22nd, 2013 at 1:04pm by cch »  
 
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Mike NZ
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Oxygen rocks! D3 too!


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Re: Allergy from good medication, any solution ?
Reply #3 - Nov 22nd, 2013 at 2:12pm
 
Which country do you live in? There are likely to be others on the forum in the same country who might be able to give country specific advice on what is available.
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Hoppy
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Re: Allergy from good medication, any solution ?
Reply #4 - Nov 22nd, 2013 at 3:33pm
 
Hi and welcome,
What's the brand name of the Ergotamine tablets
you are taking. Migral and Cafergot have been withdrawn
from shelves in the US, GB, Australia, has not being a safe
medication. Ergotamine has to many nasty side effects.

Hoppy.
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« Last Edit: Nov 22nd, 2013 at 3:56pm by Hoppy »  
 
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Bob Johnson
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Re: Allergy from good medication, any solution ?
Reply #5 - Nov 23rd, 2013 at 10:22am
 
Please! This will help us.

It will help us to direct you to good sources of assistance if you will tell us where you live (city & state, if U.S. or country). At the Home page: Help button-->Edit & Profile --> Location.
================
If your doctors are open to you giving them medical information, you can help them increase their knowledge about treatments.

Print the PDF file, below and give to your doc.
=======
Give them this web site. It's operated by one of the better headche docs in the U.S. There are three books, two of which are for doctors. Also, the site is full of articles on various aspects of Cluster which they can search. (Some of the material is useful for you, too.)
--------
Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register. Two books, one free, available as an e-book; second aimed at professionals. Section of many journal articles. Site worth exploring. Robbins is one of the leading headache docs in the Chicago area.
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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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cch
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Re: Allergy from good medication, any solution ?
Reply #6 - Nov 24th, 2013 at 12:31am
 
I am from Egypt.

Quote:
If your doctors are open to you giving them medical information,
not really but thanks and I will try to read the info but I am very tired most of the day.

@Hoppy
It is local brand name and health safety measures are different from country to another. I use it for years now after all triptans medications are failed with me.

I am thinking to start using verapamil until I can see a new doctor. How I can use it ? does it take long time to see results ?

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« Last Edit: Nov 24th, 2013 at 12:42am by cch »  
 
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Hoppy
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Re: Allergy from good medication, any solution ?
Reply #7 - Nov 24th, 2013 at 2:21am
 
Hi cch,
You need to see your doctor about verapamil, so he can start
you off on the right dosage. Yes it does take time to become
effective. So ask the doctor for a Prednisione taper dose to
take until the verapamil kicks in.

Hoppy.
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« Last Edit: Nov 24th, 2013 at 2:33am by Hoppy »  
 
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cch
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Re: Allergy from good medication, any solution ?
Reply #8 - Nov 25th, 2013 at 8:31am
 
Ok Hoppy, Thanks.
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