Good afternoon everyone. My name is Tim and I live in Richmond, Virginia. I've had/been diagnosed with CH for 23 years. I'm currently in a brutal cycle. I've been "in cycle" for almost six weeks. I started taking Lithium several years ago and my cycles have been brief (1-2 cycles a year - seemed seasonal) and, for the most part, tolerable until now. I was actually headache free for the past two years. Currently, I've been getting three headaches or so a day. All of them are usually at night - between 10:00 PM and 4:00 AM. I abort using imitrex and I divide the syringes to make the injections last longer. I can turn two syringes into 6 injections. I learned this out of necessity. The reduced dose takes longer to take effect, but it still works. Last night was a bad night. My physician suggested increasing the lithium by 1/2 tablet while "in cycle". I've also been prescribed two predisone dose packs. Each one stopped the headaches while I was taking them, but the damn things came back each time. I took my evening dose of lithium, xanax, propolanol and melatonin and I still wasn't able to get any sleep. I haven't slept much in several days. I'm pulling my hair out with the headaches but also with not being able to lie down, relax, watch a football game or even work effectively. I've had oxygen a couple of times in the past. My cycles are so intermittent that the monthly investment wasn't worth it. I also seemed to have to battle with my neurologist to get it prescribed so my GP prescribed it for me. I'm curious to know if anyone can suggest a technique(s) where I possibly get some rest. Additionally, when is too much imitrex too much? Any experience with that? I'm aborting everytime and my pharmacist is advising that this can make things worse? I don't think anyone knows what these are like. The frustration never gets old. I don't know......any advice is appreciated.