And taking sumitriptan every night might result in medication rebound headaches too.

I hear what your saying hoppy, the sumitriptan tablets ?
  is that the same as imigran tablets ?
that is basically my only form of defence. I only take the 50 mg one and have only taken 2 at once, once.
this time last year was my nightmare, and my neuro said, just keep taking them, 4 attacks a day, and 1 or 2 during the night, I was taking well over the max permitted, the chemist wouldn't give me any more without a direct phone call from my neuro.  if I took it, at the very very earliest time I first felt a tingle, I'd only get a 15 minute ( kip 10 ) attack  ( I had no idea about 02 at this point )
but to cut along story short, I was told to use the pre-take method you described, when I went to bed to stop the 2.00 am and 5.00 am attacks,  what happened was as mike described, it pushed the 2.00 am one to 6.00am and the 5.00 am one to 9.00am and I still got the normal 4 hits thru the day.  I got the rebound effect happening so bad, it was like ground hog day.   cycle ended 4 weeks later and the next cycle I found batch and the forum.  haven't needed to actually get 02 yet and only taken 1 imigran in the last 4 plus months.
if someone doesn't get the rebounds from that method, that's absolutely fantastic,  but it nearly finished me  LOL

kindest regards hoppy
colin

Hi Colin,
Yes, Imigran. It's great to hear your going so well, and
getting your life back. For me it's like living in a different
world. Without CH's. Back when i was on Imigran, i had the
same problem with my Chemist as you. So i went to different doc's and Chemist each time to get around it without the hassle. If we lived in the UK it would'nt pose
a problem. You can buy them over the counter at any Chemist.

Best to you, Hoppy.

Brad wrote,
As for taking a pill before bed, I say go for it - give it a try, what do you have to loose?  It worked for me perfectly.

Hi Brad,
I'm pleased to hear your getting some good zzzzzzzzzzzzzzz
and pain free nights.

Hoppy.

I've got one.has anyone ever tried to crush and snort a imitrex pill?

Esheel31 wrote on Mar 7^th, 2014 at 9:08pm:


The advice of a GP who is suggesting using ibuprofen as part of a CH treatment plan has to be questioned given how ineffective pain killers, even the strongest narcotics, have on CH pain.

I tried it Hoppy after you suggested it to me. The instructions say they shouldn't be taken in advance but what the hell. I'll try anything (almost) once.

I take one at bed time, and it works for me. I don't get away with the CH - they just get pushed back a few hours and I have extra daytime ones, but at least I get a nights sleep. And that helps a lot when you're fighting this battle.

The instructions also say " take one 50 mg tablet. Some people may need 100mg. Do not take more than 300mg in 24 hours". So when I'm having a really bad time I take two. It must be safe or they wouldn't say it.

I have also, on rare occasions when I've been going out of my mind, gone over the reccommended dose in 24 hours with the injections. Two injections in 20 hours instead of 24, so they were still widely spread apart. I've been so desperate that I figure there is nothing I can do to myself that would be worse than this. Although I obviosly would not reccommend this to any one, I had no ill effects.

I didn't know you could get them over the counter here.
Maz.

Duh...........didn't think of that. As it happens I think my current bout is coming to an end. I've been PF for several days now, till this evening when I got a K3.It went away by it's self in about 20 mins. The previous one was tuesday, also a short K3. So now I will stock pile a few meds ready for the next time, but I won't need so many now thanks to the 02. But thanks for the suggestion Hoppy. Next time around I'll give it a go.

Didn't know you were a pom. Where from?
Maz.

maz wrote on Mar 8^th, 2014 at 10:45am:


Entirely consistent with the drug's well described Phamacokinetics.

Hoppy wrote on Mar 9^th, 2014 at 12:27am:


I really understand the benefit of a nights sleep. It is just a case of weighing up the benefits of the postponing of the CH, the risk of rebound CHs from using a triptan "too often" and since you're limited as to how much triptan dose you can have in a day, being one dose down before you start the day.

So much of CH medication choices is about the risk / benefits / side effects and how you work out what works best for you.

Yes, I still have all the CHs the beast has planned for me - you don't get away with anything. But the choice is , have 6 Chs a day or have 6 CHs a day while you're exhausted. I'm a dreadful insomniac even when I'm well, so I need all the sleep I can get. When I first started having CH, before I had a diagnosis or meds, it went on all day and all night for weeks untill I felt so ill in every other way I was starting to think there was only one way out.

After taking the night time pill I do sometimes wake up with an absolutely ENORMOUS headache, but it's an ordinary headache (my preferred type)  which I can take care of with OTC pain  meds. If that's the price I have to pay for avoiding night time hits thats OK with me.

Hoppy, Oford is do-able for us. Next time you come I'd love to meet up if you have time.
Maz.

Hi Maz,
Good morning, hoping you got some good zzzzzzzzzzz. Just
a thought,did you take the D3 regime throughout your cycle?
When i started on the regime during my Spring 2012 cycle
my headaches went from the normal two a day up to six a
day but i read on here this can happen. But, i hav'nt had
a CH since, food for thought. Yes we will be in Oxford after
Nice. So i'll PM you closer to the time it would be great to
catch up with you and your lover of books hubby lol.

Hoppy.