I'm 43 and I cycle about every 18 months to 3 years. Cycles last 2 to 3 months, taper up then back down. Done all the drugs, used O2 with success, have good relationship with doc/he gives me whatever I want....What I'm looking for is a plan of attack. Is there someone out there similar to me with something written out....Here is what I basically do: use O2 and over the counter pain relievers in the beginning, use O2  and triptipans when they get worse, 9 weeks in I cry and start to look to new drugs or drugs I have not used before. I feel as though I'm in the beginning stages of a cycle right now.

JustNotRight wrote on Aug 26^th, 2010 at 5:27pm:

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<Edit>
P.S. I responded to your initial 1st post on this in Cluster Headache Specific

Get on some prophylactics now before it gets bad, and maybe save yourself from the nasties. 

I'm on:

Verapamil and topomax both you need to slowly get on dose.

Peace,
Boski

Yeah, you've said in general what you have tried but not the specifics. Many of us have had experience with interventions and the dosage levels that have proven effective. Often, those who say such and such isn't working aren't taking the dosage level that is effective for CHs. What have you tried and at what levels? lance