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Pixie-elf last won the day on June 13 2017
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Botox Sensitive Teeth/difficulty chewing
Pixie-elf replied to nancymclaughlinwalter's topic in General Board
If chewing is a CH trigger, or you have trigeminal neuralgia, it may actually help somewhat. I know that when my botox starts to wear off, about 2 weeks before it's time for my appointment, my teeth get really sensitive... They're sensitive anyways as I have TMJ disorder, and trigeminal neuralgia, but, they get a lot moreso without the botox. So it might be worth a shot? If nothing else, at all has helped, it might be useful. But as it was said, it would take at LEAST 2 rounds for you to find out for sure. From some of the research, Botox over the long term lowers CGRP antibodies and makes it so the nerve doesn't release it. Which helps with inflammation... But you'd need around a year of injections for that to happen I think? -
Propofol (for tooth surgery) - is this any bad ?
Pixie-elf replied to Archimedes's topic in General Board
I much prefer ketamine for anesthesia. It sometimes will even stop a cycle and is shown to HELP headaches and treat them.... Including CH. There's paperwork on it. Infusions are done on it. So your anesthesiologist might consider trying it instead! https://www.ncbi.nlm.nih.gov/pubmed/27067225 It's used as an anesthesia, sometimes mixed with propofol, and other things, so that might help? Just an idea! -
No problem! I'm happy to be of use! <3
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I don't know if this shines a light on anything, and I don't think they've done more research on it, as, it probably wasn't that interesting to them... But Mast Cells play a large part in allergic reactions. (And in life itself...) They release histamine and, oh, about 500 other hormones. And they've found them all up in our faces in the areas we have Cluster Headaches. https://www.ncbi.nlm.nih.gov/pubmed/6733778 And https://www.ncbi.nlm.nih.gov/pubmed/2272091 Benadryl prevents mast cells from releasing histamine. Which is believed to also stop mast cell activation. The problem is, with mast cell disorders at least, generally if you take the same thing over and over again, you become immune.... Mast cells are jerks. I think I tried the low histamine diet for the mast cell problems before we knew it was mast cell disorder and therefore did me no good. (Because I react to what my body has ID'd as the enemy.) But not for CH. I'm guessing it's not my problem as I'm on a shit ton of antihistamines still (No Benadryl, allergic to that) and Anti-IGE therapy with Xolair and no joy.. But maybe once we calm enough mast cells down it'll get better.
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Sumatriptan should not be refused, because it's a medication. You're supposed to carry ALL medications on your carry-on, from what I recall from the TSA... So it doesn't matter what it is. You keep it with you. I kept my epi-pens on me, and they're liquid injections in a tube that you jab in to your leg... though they had to separate those and scan them separately. (They were kind of like "WTF??") It's been a few years since I flew though... I always drank an energy drink beforehand!
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Well, for starters... I cope with the thoughts by knowing that I have a good support system, and a lot of people who love and would miss me if I were gone... And that usually prevents me from doing anything drastic. Knowing that, and that I am needed helps. Then there's the fact that the attack -will- end eventually... I might have another one later, but the one I'm in, will stop. Knowing that also helps. But mostly knowing I am loved, wanted, and cared for is the best thing to help keep me from doing anything drastic. It helps anchor me. Knowing I have unfinished work on this Earth. I'm not sure if that's what you're looking for... But the fact I am useful keeps me here. So your love and support for your husband matters, so much, more than you even know. The thoughts do come, sometimes just as a "I'd do anything to stop this.". It just kind of happens. But knowing that we have our supporters is what keeps us going. The fact that you're trying to help him, will also help him cope, too. <3
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Actually, I re-read it with fresh eyes today. I think I had it completely wrong. It looks like verap doesn't inhibit the contractile response in CGRP. But it also might not have anything to do with us, because contractile response is where things twitch? Ah well.
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The other migraine medications it's referring to are other triptans, or dihydroergotamine. As they can have a very severe reaction if taken together and cause a heart attack. Taking your preventative, and abortive is just fine. Zomig's generic name is Zolmitriptan, so, you don't want to take any other medication that ends with 'triptan' close together with it, is all that it's warning you about.
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Possibly the reason he's getting hit more right now is because on the 20th, we have the Solstice coming up. Most of us get hit WAY more during this time period. Things tend to calm WAY down afterwards. My neurologist said it has something to do with hormones... I know my hits get a crap ton WORSE every time the solstice or equinoxes swing around, and it's not just because my botox wears off! Also, I'm not sure if I'm reading THIS right but... if I am, I think what Verapamil does is it stops you from making excess CGRP, or reacting to it. https://www.ncbi.nlm.nih.gov/pubmed/8523457 Which may be part of what causes our headaches. Which means, it kind of keeps you from getting worse? But it may not make you better.... So Verap may hold your headaches in place and stop them from progressing, but it's not going to fix the problem. So if you're episodic, you take it until the attacks go poof, and you're over your cycle. If you're chronic, you take it until your body builds up a tolerance and says 'Fuck this'. At least I'm assuming that's what happens... But I could be COMPLETELY wrong.... I've been known to be. (Ignore all of this, I read it wrooooong I think.) Back to your hubby.... I second the suggestion of RC seeds, they help SO MUCH. I didn't get relief from oxygen unless I got on it RIGHT away...and currently I don't have it. But RC seeds helped a crap ton. I'm a chronic. I started out chronic. Good luck! <3 Everyone else gave some super advice here!
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https://www.ncbi.nlm.nih.gov/pubmed/24958681 Format: Abstract Send to Cephalalgia. 2015 Apr;35(4):317-26. doi: 10.1177/0333102414539057. Epub 2014 Jun 23. Corticosteroids alter CGRP and melatonin release in cluster headache episodes. Neeb L1, Anders L2, Euskirchen P2, Hoffmann J2, Israel H2, Reuter U2. Author information Abstract BACKGROUND: Calcitonin gene-related peptide (CGRP) is a marker of trigeminal activation in acute cluster headache (CH). Melatonin production is altered in CH patients and may reflect hypothalamic dysfunction. We assessed the effects of short-term CH prevention with corticosteroids on CGRP and melatonin release in a prospective observational cohort study hypothesizing that corticosteroids influence the interictal activity of both systems indicated by the change of these biomarkers. METHODS: Episodic CH subjects (n = 9) in the bout and controls with multiple sclerosis (n = 6) received 1000 mg/d methylprednisolone (MPD) i.v. for three days followed by oral tapering with prednisone. We determined CGRP plasma levels in external jugular vein blood outside an attack and 6-sulfatoxymelatonin (aMT6s) - the stable metabolite of melatonin - in 12-hour day- and nighttime urine collection prior to and several times after MPD therapy and again when CH subjects were outside the bout in complete remission. CH patients recorded the frequency of attacks. RESULTS: In parallel to the reduction of headache frequency, administration of corticosteroids resulted in significantly decreased CGRP plasma levels and increased nocturnal aMT6s urine excretion in CH subjects. No significant changes were observed in controls. CONCLUSION: Corticosteroids alter CGRP plasma and aMT6s urine levels in a cluster bout. These changes may indicate an effect of corticosteroids on trigeminal activation and hypothalamic dysfunction. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav. KEYWORDS: Cluster headache; calcitonin gene-related peptide; corticosteroids; hypothalamus; melatonin; trigeminal system
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Found this little interesting tidbit... It's from 2001, but figured it might be useful. https://www.ncbi.nlm.nih.gov/pubmed/11275006 Eur J Pharmacol. 2001 Mar;415(2-3):247-50. Melatonin inhibits calcitonin gene-related peptide-induced vasodilation and increase in cAMP in rat middle cerebral arteries. Viswanathan M1. Author information Abstract The action of melatonin to alter calcitonin gene-related peptide (CGRP)-mediated vasodilation and stimulation of adenylate cyclase activity in middle cerebral arteries of rats was investigated. Concentration-dependent dilation of the rat middle cerebral artery produced by CGRP (EC(50) of 9.4 x 10(-10) M) was significantly inhibited in the presence of 10(-8) M melatonin (EC(50) of 3.4 x 10(-9) M). In addition, CGRP (10(-7) M)-mediated increase in adenylate cyclase activity was also significantly attenuated by the receptor mediated action of melatonin. These results indicate that melatonin may interact with CGRP to regulate cerebral arterial tone. PMID: 11275006 [Indexed for MEDLINE]
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I think Indomethacin is both an abortive AND a preventative with HC. So basically, once you know your 45 days are coming up, I'd start it like 10 days beforehand. That way you get it in your system. It's a potent prostaglandin inhibitor, so it'll stop a lot of inflammation. It's also a COX-1 and COX-2 inhibitor.
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Crippled by migraine, looking for unconventional help
Pixie-elf replied to crimsondragon27's topic in General Board
For migraines, it tends to be Topamax, these days. If you can't tolerate it, they swap you to Zonegran, which is Topamax's little sister, and much more tolerable... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3663475/ I would honestly suggest for migraines you go with the same dose we use for clusters. 1.5mg, It helped my migraines a hell of a lot!- 2 replies
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I would suggest that you maybe get to a Headache Specialist for proper diagnosis. And ask your neurologist for the actual name, because 'Migraine on Steroids' doesn't tell you what it is. You need a full neurological work up, MRI, CT scan, all of that, because what you have may be entirely curable or, it could be something that needs immediate treatment. Please take care of yourself. Do the triptans help the headache at all? Is it only 1 headache that lasts for 3 days every 45 days?
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Also, energy drinks to abort!! If no one has mentioned it, you can drink one pretty quick. Energy drinks or shots. Just make sure it has caffeine and taurine in it, so long as you don't have heart problems!