Leaderboard

Ketamine is a Controled substance and it is schedule 3, refills can be written (although most docs won’t). It’s addiction potential is lower than most painkillers. It is the class of anesthetic drugs called dissociatives. At lower doses it blunts your awareness to your pain. At higher doses it can abort CHs in the intranasal form or oral troches. Usually used in an operative room or procedure suit in the IV or IM form. In the out pt setting it is becoming a very trendy thing at ketamine infusion centers. They are claiming it’s a miracle drug for depression, PTSD, migraines, CH, chronic pain Pts. It has to be made at a compounding pharmacy and can get pretty expensive depending on the state you’re in and local prices. When I was in NJ the average price for the spray and the troches (when I was getting both) was about $550/month!!!! Down here in FL I got quoted a price of 1/4 of what I was spending in NJ. The problem is it’s hard to find a Dr that is comfortable working w it and prescribing it. It’s recommended to take a drug holiday for 3-7 days a month depending on your Drs recommendation to prevent your body from building a tolerance. Some docs don’t say it though. You might only need half the script I was getting. I have a high tolerance to most drugs. I was exposed to K in high doses when I was burned for regular dressing changes... Id take trex in the plain of you don’t think you could grin and bear it. Use it in the plane, may be in the trip. And pay for the consequences after. For me once I stop using it my CH returns to its normal shittyness. Lol.

An update, Well insurance is weird, doc prescribed 16 for a month 1 every other day. Insurance only pays for 8 a month! I called the insurance and told them that Nurtec does not work well for me as an abortive but it seems to be doing great as a preventative medication taking it every other day. Well guess what, they cover every other day if I get a 3 month supply???? (So guys call your insurance and ask questions it can’t hurt) So I am getting 48 tabs for $90. I have been taking it for almost 1 month now and I have been migraine free and no Clusters so far. I am hoping that It keeps the migraines in check because like I have said before I have never had a Cluster without having a migraine first. I will keep the updates coming.

It is a dose dependent thing how much dissociation and that few beeer feeling. The oral is much less noticeable. If you take the dose of nasal I was on it can give you a drunk like feeling for 30-40min. All in all unless I’m having a 9/10 that won’t break w one oral then I use my nasal spray 5-10pumps (so 50-100mg). I have never felt anything like the infusions when using my at home ketamine. I’d say you’re pretty functional. In the beginning when I got much weaker nasal spray it wouldn’t abort my CHs but I used enough so you feel a little spacey and you just get through the pain easier. You have the CH, you know it’s there but you can ignore the pain a fair amount. My ideal situation is to have some intranasal at 100mg/ml and 100mg troches. Save the spray for the ones that don’t break. Or a 10.... hope this babble is helpful, I’m at kipp 7 and climbing atm...

If you google cluster headaches while flying, there’s tons of info. Apparently “airplane headaches” are super common. Symptoms sound very similar to CH. so strange

It's complicated and past what can be put on a headache forum, but educators were a poor example. I should have clarified the ones that work in charter schools, which are free of indoctrination. Not all educators wish to be subjected to that. But I can't discuss unions on here. My point, we have a market economy, which is collectivism with some free-market aspects left. Consequently, we can value and pay for things such as athletes at $300 million contracts who are useless to society, and if that is what society values then it is not my right to decide what price we pay them, nor is it yours. It is the markets. I just meant that it is a sad reflection that in society we live in a world of superficiality, self-importance, empty rhetoric and that people place the highest value on things that have no value. It's much easier to obtain a full scholarship for football than for brains. And we all know that 60% of pro athletes are broke in 5 years after retirement. Worse most universities now emphasize how nice their stadiums are, and how good their sports teams are over someone that could be the next Tesla. Last, while people drown themselves in reality tv, tic toc, and dived media, no one pays attention to the fact that we are on the verge of Check Point Charlie.

So nice to hear that I may not have to bear that unbearable pain again. Have so far not tried energy drinks and coffee. So basically the sumatriptan should only be used when O2 is not accessable I guess.

This was quite detailed Juss as are all your other comments. You are spot on with journalists and even photographers, I believe most know that truth is a hard sell these shitty days, at the same time most of us (even not Ch's) are looking for a moment in time to be allowed to chase dreams,play with a granddaughter/grandson without reprocussions.. yes that is the easy way to avoid speed bumps but that is the common nature anymore... no I'm not one of them, I tend to go against the grain. And do not mind the waves I create. I've also come to accept that I'm never going to feel as good as I used 2, I'm going to go through bouts of depression due to the lack of feeling well but .. in the end I'll have never given up.. not ever will I take this infliction lying down, submitt or say uncle. I'll wear this pain as best I can in an effort to put a smile on every face that has ever crossed my path. As for educators now days they (most are told what to teach and it ain't worth squat)... your friend Bosco..

Thanks for the info Freud. Sorry your in a bad spot!

Freud is the best guy to get info on this . But from what I've learnt about it . It's a bit of a trip visually and sounds . You can watch ketamine infusion on YouTube. It seems ok .

This isn't clear to me. The bag (the smaller one that you had before) should fill up fairly quickly when you turn on the O2. Then when you inhale, the bag should empty, or at least mostly empty. Then it should fill up again when you stop inhaling and are exhaling. The flow rate determines how fast the bag fills -- the higher the lpm, the faster the bag fills. That is the only relevant aspect of flow rate -- it doesn't affect how much O2 you take in when you inhale. If the bag does not fill fast enough that it is ready for your next inhalation, you need a higher flow rate. It is called a "reservoir bag," because it holds the O2 until you inhale it. Having a larger bag on there means that you have extra O2 for each inhale, which is fine, but you want to start inhaling as soon as there's enough O2 for you to take a full, deep breath, and not wait for a very large bag to fill. I'm just not really comprehending what you mean by "even at 10 lpm I get enough oxygen for 10 to 15 breaths." O2 virtually always works. For some people, it is less effective when the pressure in the tank is low (when there is less O2 in the tank). There might be times when it doesn't work, or takes longer to work, but the value of using O2 doesn't really decay over time. Yes, you will use less O2 when you find the breathing strategy that works best for you -- and there is also some evidence that it is just less effective in the first few uses than it becomes after that.

...oh that is golden!!! there is a definite technique that can make a huge difference. my best result was a gentle inhale (short of a snort)....if it drips out the inhale not enough, if a nasty taste and need to swallow then too much and the effectiveness very poor. a liitle blech being normal...... tis a bitch to learn this thru experience

...hi @Lizzie Hall, have heard very little on the sites i visit re psilo and migraine. could you share type, dosage, frequency, etc. would be valuable info for newbies on a strategy that worked....