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Hi Shaun, He is back to life thank goodness!

Yeah, I think everyone kind of had their own tells and you learn yours on the way. I kind of ramp up then back down in how many I’m getting. I’ll start with one a night and work my way up to around six or seven, then cycle back down until I’m skipping days and then it just kinda doesn’t come again one day. But I think it can vary wildly by individual and by cycle too.

This is true and I had to have one with each increase. Some doctors wont require it so you may have to ask for one.

Yes it can be , That's why you should be having an ECG every time you increase the dose , but your doctor should know that !!!!! . It's a blood pressure drug

You should be having ECG every time you increase the varp ,just to make sure no heart problems buddy . I could only go up to 320mg a day then I started to get heart block , so came off it and was put on topiramate instead

Thank you! I will look at taking it later in the day. Also will look to increase dose, I just don't want any Heart issues

Hi there EmpiresBurn, I am also on the ER and 240 a day is what my neuro started me on (one in the am and one in the pm) 120 seems very low. The verapamil never seemed like it was helping until I was around 480 a day. At one point I was up to 600 a day but was having heart palpitations at that dose. I would talk to your PCP and see what they think about a little increase also seems like since you are a nigh hitter you may want to take in the later afternoon. Hope your headbangers end soon!

My cluster cycles vary all over the place with themes. couple weeks this, couple weeks that etc.