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New Message Board Archives >> Medications, Treatments, Therapies 2004 >> Putting together a list of things
(Message started by: HannahFroukje on Jan 1st, 2004, 6:56pm)

Title: Putting together a list of things
Post by HannahFroukje on Jan 1st, 2004, 6:56pm
Hi folks,

Okay, Jos and I are done with the cycle and back to normal life (thanks to the crazy-mushroom team). We’ve had some blissfull days of piece and normal way of life, everthing’s back to normal. But all that has happened still has me thinking a lot. Because there are still a lot of other people suffering.

I contacted the Dutch organisation for clusterheadache to see if there was something I could do.

But I also have something of my own that I'm working on. See, I am still on a part-time school. This school is about chronic diseases, it takes on a holistic view on them. To me that’s short for: every disease is unique, there are no two bodies alike. I’m not sure yet if I’m going to open a real practise of my own when I've finished this study, my main purpose when I started it was pure interest (and yes, I wanted to learn more about possible other cures in helping clusterheadache, perhaps very simple things, since regular meds don't always solve the problem and never fail to create a few extra problems on the side).

Well, I’ve got a request. I’ve put together a little list of things we MIGHT think of in releaving clusterheadache and/or migraines. I found those in books on orthomolecular treatments. Some of these I’ve heard mention, some only in a few cases, others in a lot of cases (like melatonine). The request is, if you could all let me know if you’ve EVER used one of these things, and noticed SOME effect on your clusterheadache. I don’t care if the effect was only small or only temporary, Perhaps it did only shorten your attacks a little bit, or the effect wore out.

I would very much like to start making a list of ALL substances that have SOME kind of effect, then sort them out the best I can, try to find info on it, try to figure out WHY it is helping and try to LEARN from it. Will take me some time but hey, it's worth it  :o.

I’d be most obliged if as many people as possible could give a reaction if they see something they’ve used with some effect.  If you see one in the list that you’ve used, please let me know which dosage you used, what the exact effect was, how long it lasted. If it’s not on the list, please add it. If you don’t want to discuss it here, please PM or email me.

I am not interesting in knowing if anything mentioned here did NOT help for you (that's not the point and we all know that this differs a lot), but please let me know if something on the list DID help you. It's not about setting up a big discussion, as long as you're sure that it helped YOU that's good enough for me.

Please note: don’t go using anything on this list without further inquiry, there’s some things on it, you’re not supposed to use when pregnant (example LSA) or when on MAO-inhibitors (example: L-thyrosine, 5HTP) or things you can’t use together (example: mushrooms and melatonine)..

If some are interested in the results, and I get enough reactions, perhaps it would be interesting to file it here, with the amount of “hits” per substance and the kind of effect (no names ofcourse).

Okay, here’s the list:

Vitamine B complex (mention which vitamine B's you used)
Melatonine
Psilocin
LSA
LSD
Feverfew
Magnesium
Arnica fytotherapy or homeopathy
Hypericum (St. Johns Worth), fytotherapy or homeopathy
Apis (dito)
Millefolium (dito)
Hamamelis (dito)
Melilotus (dito)
Cannabis indica (hashiesh, weed, pot)
L-tyrosine
DL-phenylalanin
Ginkgo Biloba
L-Glutamine
Quercitine
L-tryptophane
Vitamine C
Fosfatidylcholine or lecithine
Fish oil EPA/DHA
Chelation treatment
5-HTP
Skull cap
Some kind of diet (avoiding certain foods)
Aroma therapy (peppermint oil, other oils, which?)
If you list something homeopathic, please mention the potency too.

Feel free to add something of your own

Title: Re: Putting together a list of things
Post by Giovanni on Jan 1st, 2004, 8:10pm
Okay Hannah,

Episodic for 10 years; CH started at age 47 with usually 2 cycles per year fall and spring.  Occasional break through CH in the winter at random now. Last two years cycle begins in early March and lasted 5.5 months, 4.5 months.  The cycles are now much longer, but with lower frequency of cycles.


Vitamine B complex (mention which vitamine B's you used)--B-6 with melatonin 6mg--see below.

Melatonine  --Started melatonin @9mg+6mg B-6 for the first time on June 13, 03 P.M. during my last cycle.  I was headache free that night.  I continued melatonin for approximately 3 months thereafter and was headache free (few minor shadows the first week).  This was in combination of Verapamil 240CR that was increased to 360CR.  Cycle ended one month earlier than the year before.

Psilocin --Used one time during early winter because of random shadowing (same as last year).  Dosage 1.7 grams dried.  Results:  Shadows have been eliminated. Plan on dosing again before my March cycle is due to come to try to avoid cycle altogether.

LSA  
LSD  
Feverfew
Magnesium
Arnica fytotherapy or homeopathy
Hypericum (St. Johns Worth), fytotherapy or homeopathy
Apis (dito)
Millefolium (dito)
Hamamelis (dito)
Melilotus (dito)
Cannabis indica (hashiesh, weed, pot)
L-tyrosine
DL-phenylalanin
Ginkgo Biloba
L-Glutamine
Quercitine
L-tryptophane
Vitamine C
Fosfatidylcholine or lecithine
Fish oil EPA/DHA
Chelation treatment
5-HTP
Skull cap

Some kind of diet (avoiding certain foods): Avoid alcohol when in cycle

Aroma therapy (peppermint oil, other oils, which?)
If you list something homeopathic, please mention the potency too.

Hanna, I do not know if you want these but:

Imitrex injections: Used to abort individual headaches--very effective and fast usually within 5 minutes if taken early.  Last cycle used approximately 125 injections.

Verapamil CR @240 and 360--seemed to make a difference last cycle when it was increased from 240 to 360.  Other than that, seems to make a difference if I don't take it.  I am trying to ween myself totally off of this medication as I am now down to 120 CR.


Need any other information, give me a PM.

Giovanni

Title: Re: Putting together a list of things
Post by ave on Jan 2nd, 2004, 5:36am
Just a note, I contacted the Dutch headache patients' magazine year before last and had an article published on shroom therapy, pictures and all.

I also contactd the head of the Clusterheadache group and passed on my shroom information.

Title: Re: Putting together a list of things
Post by jflynn on Jan 2nd, 2004, 10:04am
Melatonin is the only thing that has worked for me and it works great.

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 4th, 2004, 4:59am
Thanks for replying ....
But you don't need a degree in statistics to find out that two replies will not be really significant. [smiley=huh.gif]

Pity .... we could have helped other people together in the future. Perhaps I'd better take this another route.

Title: Re: Putting together a list of things
Post by ave on Jan 4th, 2004, 7:13am
Best way is to put the question on the general boardmessage .

also, have you checked the list of cluster  resources, over at ouch?

Title: Re: Putting together a list of things
Post by floridian on Jan 5th, 2004, 9:07am
In addition to several things on your list (melatonin, 5htp, magnesium, feverfew), I think I have had some sucess with:

tea catechins (green or black tea)  
turmeric extract (curcumin)

both of these are anti-inflammitory and reduce TNF, Interleukins, Nitric Oxide, and other chemicals that are elevated in cluster headaches.  

St. Johns wort - improves hypothalamus-pituitary-adrenal axis, increases serotonin in hypothalamus, reduces some types of immune hyperactivity.  Must be started months before headaches normally occur (in episodics) as short term effects are small.

Cayenne (chili) pepper in capsules - depletes substance P, one of the pain neurotransmitters that is elevated in clusters (substance P causes the burning streak sensation on the forehead and temple).  

Two years of last three, I have had no headaches. I still know I am in cycle - I get disturbed sleep, irregular heartbeat, twitching and slight shadows or flickers just like before, but not full blown headaches.  I can't say what has been most helpful as I have taken several things.

Title: Re: Putting together a list of things
Post by Paigelle on Jan 5th, 2004, 12:36pm
Feverfew - did not help CH, but did help with migraines.

Magnesium - just started this as a daily supplement, with hopes that it will prevent next cycle.

Nothing else I can think of.  Except excruciatingly hot strong coffee.  Ask Floridian, he can explain the effects of caffeine and coffee in general.  Very interesting.

By the way, so happy to hear Jos is doing better.  Have a happy, pain free New Year!


Title: Re: Putting together a list of things
Post by ave on Jan 6th, 2004, 4:22am
Tried myself:
Magnesium - gave me the wet plops, no help
MSM - nothing whatsoever
Inhaling vicks/kamfer/lavendel - nothing
Nose plasters - I sleep better but that's all
Meditation - no help, beyond being better able to endure
Ice pack on the soft spot on the top of my head

Read about on this board:
Ingesting Ginger
Peppercream up the nose, or on side of the eye/nose
Inhaling menthol
Hot sauce under the tongue
Cider onder the tongue with blue cheese
A cut apple left overnight till it's brown
Sleep with your windows open

Title: Re: Putting together a list of things
Post by pubgirl on Jan 6th, 2004, 7:44am
The cluster survey in the link to the left will give you the list of the main medications used by people who have visited here and how they rate them, but not all the 'alternatives'.

Wendy

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 6th, 2004, 8:02am
Thanks very much for all reactions so far. I will take a note of anything that did help someone and include details mentioned.

To whipe out misunderstandings, my request was not about regular meds like imitrex, verapamil or whatever, but to get together every single substance that has helped a single person.

I DID read the section about the alternative meds, but sometimes a lot of other things pop up, and people say "Here is something that helped MY clusterheadache". And you don´t always see these on the ouch board, perhaps because it´s too unique or doesn´t help "enough" people. We too tried the blue cheese and vinegar and it only made him sick. We too tried the grapejuice, and it only gave him stomach cramps. But that doesn´t rule out that it couldn´t help anyone ELSE!

I´m not trying to find THE remedy for ALL. Perhaps that takes some getting used to .... but I think others can handle that better ;-). I´m just trying to make an inventory to learn from and perhaps to be able to give a few people some tips by being able to give them a list, which is a LOT handier then having to read 2000 links first to see if there is anyting else.

Just think ... it could happen that someones clusterheadache disappeared for 5 years, and by looking at the list and seeing "banana´s" mentioned on it by one single person, he might be able to conclude that it must have been the banana´s because the only time he´s been eating banana´s was in these 5 years ... right? So then he could just TRY and see if it were the banana´s. Just a goofy example ....

I hope I explained this enough now. Hey, and it's just a MOMENT of your time, right? You might save another person a lot of time.

Title: Re: Putting together a list of things
Post by Margi on Jan 6th, 2004, 3:16pm
Hi Hannah
this might save YOU a lot of time, too - it's on the OUCH board...
http://www.clusterheadaches.org/resources/non_script_treat.htm

I'm surprised you list cannabis in your list of things that sufferers have found success with.  It's a trigger for a lot of people!  St. Johnswort can be, too, as can any herb.  I hope everyone's careful with herbs as "headache" is a very common side effect!!

Title: Re: Putting together a list of things
Post by thomas on Jan 6th, 2004, 4:46pm
Hot steamy showers.  Melatonin, magnesium, prosac combo.  amerge, zomig, axert, sansert.  pounding the side of your head, sticking your head in the freezer, saline nose spray, physical exercise, those are most of the things I've done to help.

Title: Re: Putting together a list of things
Post by Opus on Jan 6th, 2004, 7:12pm
This is my primart abortive which works 90% of the time.
The main ingredient is a oil combo called M-graine. It is for migraines but can be used to treat CH with added peppermint oil and lavender. The peppermint is what really helps the lavender is just to counteract the peppermints side effects of burning and pounding heart. I have found
that 2 drops M-graine, 2 drops peppermint and 1 drop lavender works best for me. I put the oils in one hand, then I rub them together, cup then over my nose and breathe deeply through my nose.  This has usually worked for me in about 15 min. I tried the treatment as a preventative without success. the ingediants of M-graine are  Basil (Ocimum basilicum), marjoram (Origanum majorana), lavender (Lavandula angustifolia), peppermint (Mentha piperita), Roman chamomile (Chamaemelum nobile) and helichrysum (Helichrysum italicum).
I do not know the exact amounts of each.

I am using 12mg a day of fast acting  Melatonine with good sucess as I am on my 2nd PF day.

Opus/Paul

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 7th, 2004, 2:10am

on 01/06/04 at 15:16:46, Margi wrote:
Hi Hannah
this might save YOU a lot of time, too - it's on the OUCH board...
http://www.clusterheadaches.org/resources/non_script_treat.htm

I'm surprised you list cannabis in your list of things that sufferers have found success with.  It's a trigger for a lot of people!  St. Johnswort can be, too, as can any herb.  I hope everyone's careful with herbs as "headache" is a very common side effect!!


Yep, I DID read all that margi, it's very good and we got a few tips of our own there. But we were wondering at the same time for how many people did this work ... and there were a few things that helped a little for us that weren't in the list.

Yes St.JohnsWorth and cannabis can be triggers. And again I say that if you see anything on the list you haven't tried, don't go trying it at once, it just might be your trigger instead of your relief. Don't worry, I'm carefull, I know how it goes, I've got a timebomb at home myself (when he's in cycle).

I'm trying to contact ouch on this ....

Thanks again folks for your contribute (now that didn't cost ya' a whole day , now did it?)  ;) ;) ;). Thanks  :P

Opus, you seem to be one of the few that is helped by aroma's ...  ::) ::) ::). And congrats very much on the success with melatonine. That's great!!!!!  ;;D I hope it stays that way.

Title: Re: Putting together a list of things
Post by ave on Jan 7th, 2004, 3:41am
Some people do want to help but don't get it. I posted an appeal on the main board, and this is one ofthe contribs.

I'll try to quote


Quote:
--------
You probably have it but here is the technique with all its terrible writing. I need to work on this again.  

http://www.netsync.net/users/charlies/

Hope this is useful.

Charlie  


let's hope more people will come forward. Just have a little patience.

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 7th, 2004, 4:10am
Ok, I´ll rephrase ....

What helped you?   ;;D ;;D ;;D

I am patient ...  :), I´ve got two years for this if necessary.

Perhaps it would be best to PM people of this board personally ... but I am not sure if people would feel uneasy with that. What do yo'all think off that? Would it be better? Thanks for putting it on the general board  :D, perhaps that makes a difference.

See, perhaps it sounds a bit ... prosumptuous (is that a good word) but I would have to reach at least a few hundreds of people to make the list have any use (I would note down which substance has been of any help, and after let´s say 250 people you should be able to say, ah pepper helped on 20 of these people, but for 2 of the 250 it was a trigger. Or: avoiding eating banana´s helped for 2 of them.

Let me know if personal approach would be better.

I hope to be able to help the dutch organisation out with this too.

Title: Re: Putting together a list of things
Post by Turts on Jan 7th, 2004, 6:13am
 
Feverfew- reduced number of daily headaches within cycle


Aroma therapy - lavender bath oil or drops on the pillowcase reduced intensity or kip of headache

Change to diet-

non-consumption of alcohol reduced intensity and regularity of CH

Coffee (strong) used as an abortive

Title: Re: Putting together a list of things
Post by juvy on Jan 7th, 2004, 6:27am
Hannah,

note, I do not have CH, I have a rare version of CPH

when hit i use:

Ice packs on the head and throat (relieves the pain and burning sensation)
Mint tea (relieves the tension in the neck and shoulders)

prescription meds do not work for me any more so when the list is gathered if you can send me a copy I would be ever so greatful.

Cheers,
Juvy

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 7th, 2004, 10:22am
Juvy and turts, thanks so much (I wished I had knows of the mint tea before ... I would have tried that on Jos).

If I may ask juvy, did you ever try drinking icy cold water yourself? Jos´s headaches are relieved by cooling them to almost freezing with ice packs, and he´s relieved a LOT by drinking ice-water (not just a few sips, but at least a whole cup at once, if he can stand it ...). Ever tried? Just curious.

Hannah

Title: Re: Putting together a list of things
Post by ozzman on Jan 7th, 2004, 10:36am
One non-medical way I treat my cluster even if it works for a few seconds is to hold my head in a sinkful of icy water, hold my breath for as long as I can last, come up for air and repeat, works better than the ice pack.

Ozzy

Title: Re: Putting together a list of things
Post by Margi on Jan 7th, 2004, 12:21pm

on 01/07/04 at 02:10:48, HannahFroukje wrote:
Yep, I DID read all that margi, it's very good and we got a few tips of our own there. But we were wondering at the same time for how many people did this work ... and there were a few things that helped a little for us that weren't in the list.


But, Hannah - that's how the list was comprised - from folks who these treatments DID work for....are you looking for a total NUMBER of people?  You'd almost have to go back to the old board archives and start there, I would think, to get an accurate number.  Like any cluster treatment, nothing works for everyone.  I think this is an impossible task, to find how many people something worked for, therefore.  Some things work once, but then not the second time - I would think "numbers" wouldn't be accurate.  

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 7th, 2004, 12:57pm

on 01/07/04 at 12:21:16, Margi wrote:
....are you looking for a total NUMBER of people?  You'd almost have to go back to the old board archives and start there, I would think, to get an accurate number.  Like any cluster treatment, nothing works for everyone.  I think this is an impossible task, to find how many people something worked for, therefore.  Some things work once, but then not the second time - I would think "numbers" wouldn't be accurate.  


I know the complications, but I'm sure it is not at ALL impossible. I work with this kind of data every day. Only thing you need is time, persistence and answers. If you've got that , in a few years you will have detailed info. It's not that hard, it just takes time.

But perhaps the board is not the right place.


Title: Re: Putting together a list of things
Post by amen on Jan 7th, 2004, 4:05pm
I haven't seen this on your list yet, but here it goes.  I started a cycle in October after being PF for 5 years.  On December 13th, I went and had a "Cranial Sacral Massage"  I believe my cycle was coming to it's end at the time, because I had gone from 3 attacks a day down to 1.  But I did have a CH the morning before my treatment, so I know it was not completely gone.  The day after my treatment I had a regular headache for most of the day.  I waited to take something until the end of the day because...well because a regular headache is a walk in the park compared to CH.  Anyway after I finally took an Aleve for the HA, I have been PF since.  If you do a search on "Cranial Sacral Massage" you will get a lot of information on what it is all about.  It's hard to explain, I believe it worked for me.  Hope this helps.

Title: Re: Putting together a list of things
Post by Prense on Jan 7th, 2004, 10:19pm
Works or helps
- Preventatives
 none
- Abortives
 Imitrex (about 90% of the time)
 O2 15ml X 15 minutes w/ non-rebreather mask (50% or so effective)
 SCALDING HOT shower (temporary reduction of pain level)
 Coffee (black-same result as shower)
 
Didn't work or help at all
- Preventatives
 Verapamil (up to 480mg/day)
 Depakote (up to 1000mg/day)
 Inderal
 Melatonin
 Indomethacin
 Naproxen

- Abortives
 Ibuprofen
 Aspirin
 Motrin (800mg)
 Maxalt (both MLT and normal) 5 and 10mg tried
 Lidocaine (2% and 4% in the nose)
 Demoral
 Fiorinal (w/ and w/out codeine)
 Darvocet
 Percocet
 Tylenol w/codeine
 Feverfew
 Excedrin migrane
 Ice (frozen peas or whatever handy)
 Running (opposite effect)

I think that's it...

Additionally, 10 years chronic...never episodic, if you need that as well.

Chris

Title: Re: Putting together a list of things
Post by bamjd on Jan 8th, 2004, 1:10am
mega B stress timed release 3 a day. the ones i took were made by soloray. my demons stopped for almost 2 yrs but now they are back. i wonder if i got a bad batch or if it was just a coincidence. if the mega b stress helps anyone else let me know.  The only other thing to help me has been imitrex. :P :'(

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 8th, 2004, 2:32am
Thanks for the lists!

I'm busy constructing the access-database (just a simple one) in which I want to keep records, I´m thinking about the best model now, the comments, critics and notes helped a lot to get me thinking about that, so I hope I won´t have to readjust it once it´s ready. When it´s ready adding the records should be a piece of cake and once I´m busy doing THAT it´s just a matter of "let it grow ......".

I love this database stuff ...  ;;D, I always figure, lots of info gives you even more info by looking at how much you got from a certain thing ....

perhaps I would need some extra details here and there, but will do that in PM-form.

Greetings,

Hannah

Title: Re: Putting together a list of things
Post by juvy on Jan 8th, 2004, 5:56am

on 01/07/04 at 10:22:18, HannahFroukje wrote:
If I may ask juvy, did you ever try drinking icy cold water yourself? Jos´s headaches are relieved by cooling them to almost freezing with ice packs, and he´s relieved a LOT by drinking ice-water (not just a few sips, but at least a whole cup at once, if he can stand it ...). Ever tried? Just curious.

Hannah


yes that and Ice cream works really well, may I ask, Where in Holland are you?  I'm in Den Haag.



~juvy

Title: Re: Putting together a list of things
Post by Bob P on Jan 8th, 2004, 8:45am
Streneous exercise at onset of an attack.  Aborted 60+ attacks in a row, within 10 minutes.

Title: Re: Putting together a list of things
Post by CJohnson on Jan 8th, 2004, 8:57am

on 01/08/04 at 08:45:16, Bob P wrote:
Streneous exercise at onset of an attack.  Aborted 60+ attacks in a row, within 10 minutes.

 Do you find that the sooner you catch it the quicker you abort it? I do. I used to go outside and run, but now I have a routine I like even better. I go to the kitchen drink some cold water, go to the basement and do squats and rows until I'm out of breath. While I'm catching my breath I go to the kitchen and drink some cold water, then go to the basement do some squats and rows... I find it also keeps the level of the pain down.

PFDANs
-Curtis

Title: Re: Putting together a list of things
Post by Bob P on Jan 8th, 2004, 10:06am
Curtis,

I went with the squats.  I figured the thighs were some of the biggest muscles in the body and working them would also direct blood away from the head.

I wake up with an attack starting, grab a tab of cafergot and immediately start doing squats.  I do them till my thighs are buring and I'm really huffing and puffing.  Then I sit down with an ice pack on the back of my neck and breath deeply.  HA gone in 5-10 minutes.

Last cluster I found O2.  Being old and lazy, I dropped the squats and just hit the O2.  Worked just as well.

With the exercise I wonder if it's a release of endorphins, redirection of blood flow or raising the O2 in the blood from the deep breathing, or a combination of them all.

Title: Re: Putting together a list of things
Post by HannahFroukje on Jan 8th, 2004, 10:08am

on 01/08/04 at 05:56:38, juvy wrote:
yes that and Ice cream works really well, may I ask, Where in Holland are you?  I'm in Den Haag.
~juvy


;;D ;;D ;;D Hee hee, I didn't even notice you were Dutch .... I'm in Apeldoorn ..... 8)

Title: Re: Putting together a list of things
Post by BlueMeanie on Jan 8th, 2004, 12:47pm
Other than the abortive meds, ie. (Imitrex & Amerge), ICE & RUNNING in place ease the pain. Nothing else works for me.

Title: Re: Putting together a list of things
Post by amen on Jan 8th, 2004, 3:31pm
I forgot to add in my last post, fiorinal helped me also.  I hear it doesn't work for most but it worked for me.  It didn't wipe them out completely but it cut the intensity and the duration about 50%.  Enough to make them tolerable.  I had the fiorinal without codeine.  Problem is, it can be habbit forming which is why I tried the "Cranial Sacral Massage".  I didn't want to take the fiorinal for too long.  Plus I only took about half of what I was prescribed.
Andrea

Title: Re: Putting together a list of things
Post by henzey on Jan 13th, 2004, 11:07pm
Hey, I have not tried alot of things on your list, but here's what I have tried over 22 years that had some impact.
Melatonin:  actually had a negative reaction to 1.2 mg per day....made headaches worse, but think this may have been due to having high levels of iron at the time (but didn't know it), which impacts melatonin levels.
Magnesium:  500mg supplement did seem to help with daytime headaches
Vitamin C:  I have noticed that certain juices with this vitamin can make headaches worse, such as orange juice.
Compression of carotid artery:  I can sometimes prevent a full-blown headache by compressing the artery on the side where I have the headache just below my jaw.  However, my neuro does not really like me doing this....I guess she's afraid that I am cutting off blood to my brain!  However, this also can make the headaches worse if I wait too late to do this!
Fish oils:  I take these daily all the time for dry eyes and do not notice any impact on headaches at all
Tea:  Drinking tea actually helps me more than coffee, but usually have one cup of coffee in a.m. and 2 cups of tea during the afternoon.  This routine does seem to keep me from having afternoon headaches or assures that they are not severe.
Aged cheeses:  Overly cheesy foods can be a trigger, especially those with cheddar cheese.
Alcohol:  Cannot have ANY alcoholic beverage during an episode...not beer, not anything. A definite trigger.  But, not drinking it will not prevent clusters.
Second-hand smoke:  Being around either heavy cigarette smoke or fireplace smoke can trigger a headache.





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