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.