DATE OF POST: 9/2/2011
TIME OF POST: 11:09 PM
TOTAL HEADACHES TODAY: 0
TIME OF CH ATTACK ONSET: N/A
METHOD OF CH ATTACK ABORTION USED: N/A
Between the stressful work week and the dizziness, I have not had motivation or energy to work out this week. I plan to work out tomorrow. On a positive note, my headaches have been minimal this week. Although the side effects have presented challenges, the meds seem to be working. Just need to find the right balance. Working on it.
Doctor returned my call today. We discussed the side effects I’ve been experiencing this week. We discussed my blood pressure (which has been normal, although my pulse has been low). She said she believes the Calan is causing the side effects, pointing to the low pulse. I recalled that we previously had me on Inderol, another blood pressure medication, and that caused similar side effects. The Calan 180 mg was the option she put me on from the Inderol back then, and I stayed on that for 3 years without issue. Therefore, she put me back to that dosage today. She said she wants to keep me on Topamax at the current dosage. Previously, she put me on Topamax just before the Cluster Headache cycle stopped, and I stayed on it for a few weeks. It was late in the cycle at that point, so it was hard to say whether it was the Topamax that anded the headaches. That’s what we are trying to find out now. In any event, as far as the side effects go, I believe that if I were having these side effects with the Topamax previously, I would have been taken off the medication and she wouldn’t be giving it to me again now.
-Time: 11:57 am
-Blood Pressure: 131/89, 68
SIDE EFFECTS EXPERIENCED TODAY
-Slight vertigo (head slightly spinning, kind of vibrating, but no nausea). Was less than yesterday. Started to build up around 11 am, peaked around noon, then gradually came down over the rest of the day. Had the feeling all day.
-Cold, tingling lips
-Went to work
-See Medication schedule: http://clusterheadachewarrior.tumblr.com/post/9464792685/saturday-august-27-2011-updated-meds-schedule
-Meds taken at 8 am and 8 pm
-Added Naratriptan (Amerge) 2.5 mg to 7:30 am meds
-Added Sumatriptan (Imitrex) 100 mg to 8 pm meds
-Modified Calan prescription dosage from 240 mg to 180 mg because of side effects
-Modified Topamax schedule: to stay at current dosage through cycle rather than increase by half a pill
-Will stop using Naratriptan prophylactically in morning
-Breakfast: 2 lunch meat turkey, egg, 2% skim American cheese sandwiches on whole wheat English muffins
-Snack: small grits with one packet of salt
-Lunch: 1 slice vege pizza, 1 slice pepperoni pizza, small mushroom bisque, handful of Cheezits
-Dinner: small bowl of chili, tortilla, small plate of tuna noodle casserole, hummus and flat bread, salad
-Coffee: 12 oz
-Cranberry Juice: 4 oz
-Water: 78 oz
-Ginger ale: 12 oz
-Club Soda: 12 oz.
POST WORK OUT VITALS: