Doc's Cluster Headache Journal

Thursday, January 23, 2003

January 23, 2003 :: 6 a.m.

Three CH in one day, the day after starting the Prednisone. Coincidence?

6 a.m., 6 p.m., and 11 p.m.

*****

Dr. Aronoff's instructions:

  1. Prednisone for 12 days -- January 22 through February 2. Stop taking if you feel bad. Stop taking after 5 days if no improvement.
  2. If a CH occurs, try breathing OXYGEN @ 10 liters/minute for 15-20 minutes to see if it will stop the CH.
  3. Try Axert 12.5 g -- 1 tablet if oxygen doesn't work. Repeat in 3 hours if needed. Maximum 2/day.
  4. If still having CH on Saturday January 25, take 1 Frova tablet in a.m. Take again on Sunday. If no CH, then stop Frova on Monday January 27 to see if Prednisone has kicked in.
  5. While on Frova, can take 1 Axert a day for breakthru CH.
Prednisone schedule:
8 - 8 - 8 - 7 - 7 - 6 - 6 - 5 - 4 - 3 - 2 - 1
W - Th - F - Sa - Su - M - T - W - Th - F - Sa - Su
22 - 23 - 24 - 25 - 26 - 27 - 28 - 29 - 30 - 31 - 1 - 2

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