I have taken Verapamil extended release for years at 480 mg. I upped to 600 mg about a month ago to treat my current cycle.

I have been having a bad cycle lasting 2 months with nightlly/morning ch attacks 2-4x per day. i abort with O2. i have done and still do the d3 anti-inflamm regimen with no results.

I remembered reading that the immediate release verapamil works better in CH patients. I called my dr and he wrote me a Rx for immediate release Verapamil 120mg tablets (ACTAVIS PH) 5 per day 1 in morning 2 in afternoon and 2 at night before bed for a total of 600mg.

what should i expect when switching. should i expect more side effects, swollen ankles...possible dizzyness....blood pressure drop when working out? i experienced some of these a bit on Verapamil extended release, but really I tolerate it pretty well. Curious to know from others that take the immediate release or have switched like i am doing...

thanks,

--mike--

I've done the switch the other way around going to the sustained release.

Side effects from the change none, other than enjoying life more as it was more effective for me.

Heat is one of those little jokes Cluster plays with us! For some, heat (e.g., hair dryer aimed at a hot spot) will reduce an attack.

For others, heat will trigger attacks (as exercise or just being outside on a very hot day). All you can do is learn from what your body tells you.