Its been a while, but for good reasons, 112 reasons!
Long story short, gabapentine is working fo me, throwing my chronic CH into oblivion.
The long story is that for the last few years I turned into chronic with heaps of medications trying to control >200 hits a month. My neuro suggested to take the Indomethasine to see if I could positively react to this and diagnose paroxysmale hemacrania. Went all the way up to 275mg but eventually after month of severe fatigue and other side effects we concluded I did not respond to this as I should be. Slowly decreasing the indomethacine, an old spinal injury came back into my life with constant pain in my lower back and leg. I was prescribed tramadol as a pain killer to get through the day and night, but oh boy, this did not work with my other CH medications. I couldn’t go to the toilet for days in a row, more fatigue and more importantly the number of hits increased, although not the severity. Had to stop the tramadol and eventually requested another type of pain killer, which was the gabapentine. Still I used the O2, verapamil, sandomigran, naratriptan, suma’s and now took another pill. After the first one in the morning, no hits during the day and night…that’s odd…well must be a coincidence. Three days later the hits disappeared completely, and I was only taking 300mg in the morning and evening. Then I started counting, 10 days, 20, a month, 3 months, and today 112 days without a significant hit. Happy days cause I am not so anxious anymore when the next hit will come, if I can go for groceries without my O2 and suma with me, or not.
Every now and then, the cluster bunny comes around and shows it ugly face, a little O2 does the trick, but makes me realise it is not gone. It is well suppressed with the gabapentine, somehow there is a little chemical component inside that I needed. Neuro does not understand this as there is little medical evidence for this, but looks at me with a smile. He now advises his other patients in his top5, actually 4 because I am number 5, to take gabapentine to see if it has the same results as I have.
Should you not have tried it, I can recommend it, but always be certain to consult your neuro first as this is an anti epileptic also used for neuropathic pain.
Alex