I'd suggest that you skip the pain killers full stop as they don't touch the pain of a CH, can give you medication rebound headaches and if using narcotic pain killers they result in dependency issues.

If you use imitrex injections or nasal spray, they will take effect far quicker than any pain killers you take too, so there is little benefit in taking them.

You mentioned lithium and topomax which are preventives, saying that they don't work. Have you tried verapamil? If so, how high a dose did you try?

Have you looked at the vitamin D3 option many of us are finding success with?

Thanks my friends, I should have been clearer. I am on verapamil and have been for years. 480mg. recently they bumped that up to 620 mg.

I also don't take any regular pain relievers, just Imitrex and Verapamil. I was wondering though if anyone knew of anything else one could add to that and be safe.

As far as the Anti-Inflammatory Regimen I have started that a few days ago.

One last question on that, it says to take Vitamin B-50 for three months, after that the mature multivitamin will be sufficient. I don’t see that listed, is that just any complete multi vitamin? I already take that should I continue with it while I am on this regimen?

Likely, the biggest problem with Imitrex is folks not taking it soon enough. Delaying to see if a full blown attackis developing, a tactic of too many, can reduce the effectivenesss to near zero (or there!)

Print the PDF file, below, for you and your doc to share.