Hey Yan,
Good question and good idea starting the anti-inflammatory regimen. The calcium component of the anti-inflammatory regimen can be optional while taking verapamil.
There are several articles on the impact of calcium supplements on heart patients taking verapamil and it appears reports on the extent of impact on verapamil effectiveness caused by calcium supplements are mixed.
There were a few cardiologists treating heart patients who required calcium supplements and they basically split the calcium and verapamil doses, calcium in the morning and verapamil 6 to 12 hours later.
We've had CH'ers report not taking calcium while taking verapamil and some that did. Among the CH'ers taking both verapamil and the anti-inflammatory regimen with calcium, there didn't appear to be any loss of effectiveness in verapamil's preventative effect... What usually happened is this regimen started working and the CH'er experienced a pain free response.
Some of them continued taking verapamil after the PF response and some stopped the verapamil.
Bottom line... Based on the results of the online survey of 127 CH'ers taking the anit-inflammatory regimen, 83% of the CH'ers starting this regimen experienced a significant reduction in the frequency, severity, and duration of their CH attacks. 60% experienced a lasting pain free response.
Putting numbers on the term "significant" reduction, the survey data indicates an average frequency of 3 CH/day before stating this regimen, and 3 CH/week after a favorable response to this regimen.
The latest version of this regimen that I take uses the Kirkland brand Mature Multi in stead of the calcium citrate. See the following link for details including a photo of the supplements I take.
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The Mature Multi is formulated with 220 mg of calcium, all seven B vitamins, and all the rest of the essential vitamin D3 cofactors... Just not enough magnesium or vitamin K2 so I add extra magnesium and vitamin K2 as illustrated in the photo.
The Mature Multi should provide a low enough dose of calcium so that if taken in the A.M. and verapamil through out the rest of the day, shouldn't cause any lasting loss of verapamil's preventative effect. See your neurologist to come up with a workable dosing strategy to take both. The alternative is to take all the other vitamin D3 cofactors in separate formulations that do not contain calcium.
If your neurologist still has questions or concerns, please shoot me a PM so we can work them out.
Take care and please keep us posted.
V/R, Batch