Busting and nerve block

[SaltLife]

I was diagnosed with ch's earlier this year after having them for the last fifteen years or so. I've been in a cycle basically this whole year. Since seeing a neurologist in January I was prescribed sumatriptan for abortive and depakote for preventative. Sumatriptan helped at first but eventually it started losing its effectiveness, depakote did nothing. In may I was given a nerve block shot to the left side of my head and that worked for about a month and a half. Around July the ch's came back to the right side this time and haven't left. I recently found this forum and have been prescribed O2 and started the d3. So my question is I've tried busting the past couple of weeks with mm's(been medicine free beforehand) and although I've been ch free I'm still feeling shadows on both sides of my head now. Do I need to try dosing again? Also my neurologist has me scheduled for another nerve block shot next week, will this mess with me trying to bust?

[Pebblesthecorgi]

If you are pain free and only experience shadows I would not get the injection and bust.  Some folks use mm in intervals at lower doses to prevent; some do a bust when shadows start up.  I dont think the injection would interfere with the bust even if it has steroid in it.  The issue becomes figuring out what works: mm, injection or D3.  We tend to pile on therapies when it gets rough and never really know what helped for future reference.  My personal experience with depakote was it had to be in high doses giving constipation a new perspective, muddled my thoughts and didn't substantially help.  Verapamil has to be in higher doses  and also contributes significantly to constipation.  Curious, was the sumatriptan oral, nasal or sq?

[SaltLife]

The sumatriptan is tablets. I've tried getting the injections but have had issues with insurance covering it. I was wondering if the nerve block prolonged my cycle?

[Pebblesthecorgi]

Tablets are generally worthless as a cluster abortive.  You might ask about getting vials and use a TB syringe to inject.  This is much less  expensive than cartridge systems.  The cartridge system is 6 mg  though it can be hacked to get multiple doses.  Many clusterheads can get by with 2 mg dose so multple doses from a vial help make it effective.  Imitrex can cause downstream problems with prolonged cycles or rebound headache in some cases so even when effective try and avoid unless the O2 fails.  I can't directly answer if the injection prolonged the cycle but it would be hard to imagine why since it is basically a nerve block and doesn't attack at the receptor level.