Chronic severe nocturnal hypnic headaches

Posted by taterjoy @taterjoy, Aug 29, 2016

I am looking for anyone else who has been diagnosed and treated for chronic, severe nocturnal hypnic headaches. I have had them for about 12 years, and on treatment, but not optimal treatment. I am interested in hearing how others with this rare diagnosis are being told to treat them safely.

Interested in more discussions like this? Go to the Sleep Health Support Group.

@akalsas

Have tried some with no help and liver and kidney give problems if on most meds. Seen several Neuro and a headache specialist. Since unable to take meds -I am written off as noncompliance.
Glad to hear that you have had relief

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I'm so sorry for your situation. How can you can any restful sleep? Has your physician or neurologist introduced you to any non-drug treatments? There is a brain neuro-stimular called Cefaly that you might try. I have not tried it since the regimen my Mayo MD provided has gotten me to a good place, and I don't want to rock the boat. However, I have read in Headache groups that some people with migraines and others with inflammatory cluster headaaches have gotten benefit. It might be work a try. Sending hugs and praying your situation can improve.

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@akalsas

Have tried some with no help and liver and kidney give problems if on most meds. Seen several Neuro and a headache specialist. Since unable to take meds -I am written off as noncompliance.
Glad to hear that you have had relief

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I feel the same way about being a noncompliance patient. My neuro specializes in migraine and her big thing is botox injections. I tried them for a year and the only thing I got was hair loss. She is now trying to push the migraine injectables like Amovig, Ajovy or Emgality. I have heard some people get really bad side effects from these and they are in your systems for a long time. The other thing is I don't have daily migraine only during the night. Has anyone here tried these?

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@gussie

I have two other rare conditions that at least have facebook groups where the info has been so valuable to me. I am so glad to have found this group. I also started with daily migraine in my early twenties. Mostly related to my period. I come from a long line of Migrainers. My mother, grandmother, and it seems I have past it on to one grandson. After menopause the daytime migraines got better. Then in 2006 at age 65 I started waking up during the night with horrible headaches. The first few years I ended up in the ER about ten times for the migraine cocktail. The only thing that broke the cycle of pain was dilaudad the drug from hell. In all the years of having regular migraine I had never thrown up from the pain but with this I did. I am now 80 and still have what has been diagnosed as hypnic headaches for all these years. If you look at me I don't look my age and people are shocked when they find out how old I am. I live in the San Francisco so I had gone to the same headache specialist that taterjoy went to. I started going to him in the 80s when I had regular migraines. Although he did diagnose my hypnic headaches he changed his practice to just studying different drugs for the pharmas. So he spends 5 minutes with you then just hands out drugs. I have to say that even my young neurologist is stumped with this situation. I have tried everything over the years also. The latest suggestion is that I should do a sleep study which sounds like torture. As far as I know about sleep studies it just tells whether or not you have sleep apnea. If that were the case then we all have sleep apnea. Over the years I got to the point where I woke with the pain took 50 mg of Imitrex and could go back to sleep, but in the last year it has gotten much worse and that doesn't work anymore. I know that caffeine does work if I feel a little headache coming on in the daytime but I do have GI issues so I really can't drink a lot of coffee. I recently tried the caffeine pills but the ones I bought also had L-Theanine in them and caused a lot of GI problems. I just didn't think I would go into my twilight years with this.

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I use caffeine tablet under tongue. Usually helps

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@taterjoy

I am so sorry Gussie to hear what you are going through. It's painful, debilitating, depressing and can feel so hopeless at times. I felt totally defeated for years, and was so disgusted with the local SF/CA "headache specialist) after I told him oral meds can't help when I'm vomitting continually (and diarreah expels suppositories). He RXed another oral med. Thats when i quit seeing him.

Pharmacists at Kaiser have helped me tremendously! They wrote to my physician and asked if I might be a candidate for a chemotherapy anti-nausea "patch" which I used for years. My primary care MD is very compassionate, but my local neuro refuses to RX the meds my Mayo MD has prescibed. So my amazing Mayo MD still calls in orders for one RXs to a pharmacy in my hometown.

The constant servere pain, continual throwing up, and resultant nauea and exhaustion (and lack of sleep) can feel so defeating. I hope and pray you won't give up. You might be able to consult with a Mayo MD via phone if you are not able to travel. I don't know, but the admins or moderators on this site might know. Dr. Wheally at Mayo Rochester (neurologist, headache specialist) has changed the tractory of my days, vastly improved my health and my sense of well-being by caringly sorting through and trying ALL options. If you can't tolerate caffiene or Indomethacin, there are still other drug and non-drug options to try like a neural brain stimulator! I also suspect in the future that sleep therapists will find a pattern of sleep that might avoid triggering our issue. If we set our clocks to wake us up (and reset the alarm) to avoid going into REM stage sleep, I believe that the brain-wave "triggered" inflammatory response might be avoided. Just a hunch, but I don't know if any studies are being done. I plan to ask Dr. Whealy at Mayo on my next visit.

Thank you so much for posting! I have met very few people who experience these noctural "inlfammatory" severe headaches with horrific GI involvement. I don't know how to send a private message on this site, but if a monitor or mentor can help, I will send you my phone number in case you want to talk about it. I pray your situation improves and that your quality of life can be vastly improved. Sending hugs and hopes for better days and nights ahead.

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If it's not against the rules I will put my email on my next post

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@gussie

If it's not against the rules I will put my email on my next post

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For your privacy and security we suggest members use the private message feature of Connect to share personal contact information.

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@gussie

If it's not against the rules I will put my email on my next post

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I see that it is against the rules to post your email publicly. Feel free to write to me in the private message portal here on Mayo Clinic Connect. I also forgot to mention that I am now taking (in addition to indomethacin and coffee nightly) 30mgs of melaonin. My Mayo MD had me start at 3mg and work my way up to 30mg over a two month period to try it. I do believe it takes the edge off my nocturnal inflammatory headaches. Though melatonin is over-the-counter, it is a drug that can affect hormones, so I would discuss with your physican prior to trying it and pushing the dose that high. I hope you can find something that helps improve your nights and your quality of life.

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@johnbishop

For your privacy and security we suggest members use the private message feature of Connect to share personal contact information.

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Thank you for letting us know!

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@missgrace

Yes, I do experience these headaches. I haven't posted for several months, though, because I thought I had found a cure in the hormone supplements I was taking. These hormones have lots of unpleasant side effects in addition to gradually becoming less effective against my headaches. That why I was interested in learning more about the nerve block.

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When did the headaches come back? After you discontinued estrogen? What other hormones were you taking that helped? I have nightly headaches that seemed to disappear when I tried estrogen/testosterone and progesterone. However, the estrogen gave me diverticulosis/diverticulitis - which I thought was a very unpleasant side effect. I stopped the hormones and the nightly headaches came back.

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@akalsas

Has anyone had their cortisol and melatonin levels checked? If so, did it help in relief.

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Need any help to work with this problem. Feeling disparate

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@akalsas

Need any help to work with this problem. Feeling disparate

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@akalsas, I see that this issue of headaches while sleeping continues to disrupt your life and that you haven't found answers. To help connect you with others who experience nocturnal headaches, I moved your message to this existing discussion that @taterjoy started:
Chronic severe nocturnal hypnic headaches https://connect.mayoclinic.org/discussion/chronic-severe-nocturnal-hypnic-headaches/

Recently @taterjoy shared this encouraging update https://connect.mayoclinic.org/comment/729668/

Akalsas, Have you been diagnosed with hypnic headaches? Are you a candidate to try Indomethacin? Have you tried lithium? Flunarizine? or Topirimate? or Verapamil?

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