My latest battle with cluster headaches
It all started about two weeks before Christmas. I started feeling that little burning sensation in my head and felt a little more foggy than usual in the morning. I suspected that the demon was only a few days away from revealing itself.
True to form, it only took a couple of days. I started feeling some mild cluster symptoms… stabbing pain on my left side, racing heart, heavy eyelid, sore carotid, and sore at the base of my neck. They were only lasting about 20 minutes and were very mild (pretty typical for the first stage of my cluster cycle).
As luck would have it, I had a follow-up visit from my recent physical scheduled, so it worked out quite well to also discuss treatment options with my doctor. (This was a new doctor for me, and I never really know how each doctor will react to cluster headache treatment… I’ve had good ones and bad ones.)
This doctor was very understanding and wanted to move fast and be aggressive with treatment. So we tried an 11 day prednisone treatment. Immediately the headaches stopped. Not one more while I was taking the steroid. This was great, since I was expecting only limited relief and was trying to mentally prepare myself for a month or two of pure hell. I had tried predinsone only once before and it worked quite well then too. Anyway, after coming off the prednisone, I started getting a few mild symptoms again. I was prepared, and had a prescription of verapamil on hand. Started taking one at bedtime (120mg extended release). Worked like a charm.
After a few weeks of verapamil, I stopped noticing the “shadows” that I feel when the clusters are suppressed by medication, and decided to quit taking it. So far so good!
Moral of the story, you can bet next time I will be requesting the prednisone treatment for my cluster headache. God willing it will work as well next go-around. Verapamil is always a standby and will continue to use that to supplement whatever prophylactic treatment I try in the future.
That’s it. Good news this time. Hope to not have to report back any time soon.
Feel free to add any thoughts or comments on what works or doesn’t work for you. I’m always curious how other people deal with these things.