Headache Cycle Every 4 Weeks like Clockwork

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Date Joined Dec 2013
Total Posts : 1
   Posted 12/16/2013 6:27 PM (GMT -6)   

I’m new to the forum, but not new to headaches. I’ve searched many dozens of times for anyone that has a similar headache experience and can’t seem to find one person.


For 15+ years I’ve had regular headaches. I never thought about them, just popped some Tylenol and managed to work through them. about 5 years ago, I started keeping a headache calendar at the suggestion of my girlfriend who was a migraine sufferer. The calendar showed me there are no apparent triggers except time. No food or drink or caffeine or anything triggers my headache except a very reliable 4 week cycle.


It’s almost some kind of male-menstrual cycle thing. I know it sounds bizarre, but with 5+ years of data, it’s pretty undeniable. The headache cycle works like this:  every 4 weeks I get a headache episode that lasts between 3 and 5 days. When the headache cycle starts, I take some Tylenol and that almost always kills the headache for 6 – 8 hours. When it starts to reappear, another Tylenol dose and it subsides again. This goes on for 3-5 days until the headache is gone without medication. I can look at a calendar and tell you within 1 day when the next headache cycle will start. It’s as reliable as the sunrise.


Have any of you ever heard of a headache like this? It’s not debilitating, but it’s a serious drag for 3-5 days each month. I’m grateful the Tylenol works because if it didn’t, I’d be miserable for that time period.


Thanks for any feedback you may have.

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Date Joined Dec 2008
Total Posts : 16562
   Posted 12/22/2013 12:36 PM (GMT -6)   
I have a headache pattern like that but I am female. It does sound like a similar pattern, but as a male, it is a little bizarre. I have been able to get mine to respond to a pill called ponstel. It's a strong NSAID that acts quickly. Since you only have the migraines a few days a month, something like that may work for you. Combined with a tripthan, you could potentially abort the majority. The problem I've had with tripthans, is that i never take them soon enough. I always try to deny the aura is an aura, then the migraine comes on quite quickly and it's too late. At that point I take ponstel and it usually helps. Lately, I haven't been finding it as helpful unfortunately. I was on an antidepressant for a while that was very helpful in stopping migraines before they started (pristiq). My neurologist prescribed it and it worked wonderfully - not sure if you would want to take something daily for migraines that only occur a few times a month. That's the problem for people like us with cyclical migraines. you really don't want to take a preventative if it's unnecessary. For me, it made sense becuase I was struggling with depression.
Co-moderator: Ulcerative Colitis
Diagnosed with Pancolitis, Laryngopharyngeal Reflux & Migraines. Battling Extreme Exhaustion.
Currently: 6mp (25mg) + Lialda (2400mg) + Canasa (1g PM)
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