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#1 Fri, 23/05/2014 - 11:14
I'm currently on 800mg Verapilmil, have received nerve blocks and use injectable imigran when headaches very bad - is that the standard treatment or are there any other medical options that I could explore.Current treatment plan does not seem to be working, still getting severe headaches lasting 30 to 45 minutes 2/3 times per day.
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First of all have a read of the treatments section on the main website. Have you tried high flow oxygen? There is also a new hand held electronic device being trialled at the moment and OUCH members are taking part in the trial, so there are two other options for you. Also, if you are on verapamil, that is the first line preventive for CH and the top recommended dose is 960 mgs a day. There are several other preventives in the protocol for cluster headache. if you want to take part in the trial mentioned above call the helpline for details. I'm afraid I don't know what the oxygen arrangments in Eire are, contact Migraine Ireland, they may be able to assist you with that. If I can find out anything I'll post it on here for you.
Just one further addition to Vals post. Please check you are using the correct Verapamil. It should be Verapamil BP. Not SR (slow release) or MR (Modified Release) GP's and Chemist often supply either of these two in error and they usually dont work.
Chairman OUCH UK
Interesting post about Verapamil types so, I checked my packet of Verapamil 40mg. Nowhere does it state BP MR or SR, how do we know what they are if it isn't clear on the packaging nor instructions?
It's BP. The SR and MR state as much. For some reason the BP version just says 'verapamil'. BP stands for 'British pharmaceutica', I believe.