Lancet. 1999 Sep 18;354(9183):1001-2.
Comment in:
Lancet. 2000 Jan 8;355(9198):147.

A new cluster headache precipitant: increased body heat.

Blau JN, Engel HO.

Exercise, a hot bath, or elevated environmental temperature provoked cluster headaches, within 1 h, in 75 out of 200 patients. This new observation accords with recognised precipitants--alcohol, histamine, and gyceryl trinitrate--perhaps via generalised vasodilatation or hypothalamic activation.

Publication Types:
Letter

PMID: 10501368 [PubMed]
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We get regular, if infrequent questions, around attacks when working outdoors, active sporting events, etc.

You might try 1mg melatonin about one-hour before going into a heat situation which you know will trigger an attack. Works for some of us.

yup heat is the trigger for me.... i sleep next to a wide open window and only under a sheet!! and when i get one first thing i do is get ice cubes wrap them in a tea towel and put it on my temple..works a treat!

I live in New Orleans, and the heat here is almost unbearable for me when I'm having an attack; Which is now. Started May 20th. The heat is a big factor in my attacks. What really sucks is that I work outside as an ironworker. Try explaining a cluster attack to a blue coller Coon Ass. lol I find that a cool pack loosly wrapped around my neck helps. Anyway, I hope you can enjoy Arizona. I will pray for you.

Try dissolvable alavert, works for me. I'm also going to try Petadolex herbal supplement. Ive heard alot of good thing about it...

what dosage did you take? 50 mg 75 mg?? and what was the total amount you took?
If you take the 50mg you take 50 mg in the morning then 100mg before bed, the 75 mg one in the morning then one before bed. they take a few days if not weeks to fully start to help you.

Been trying to keep hydrated. I dont think i have drank so much in my life!!!! Made an appointment with a new neurologist here and when i talked to the receptionist she said to me .... "let me guess... The heat is really getting to you isnt it?" i said... "sure is."

I live in AZ plus Im a painter by trade, so im in the heat all the time, its not the heat for me but the dust. It always seems like I get them at night more than anything, when I do I use the Alavert and put my head under the faucet and run warm to hot water on my head, pain is gone within minutes. But everyone is different. Ive lived in AZ all my life never been affected up until about 4 years ago. stress seems to be my trigger

Of all my cluster episodes, they have either come in the spring or winter. Summer heat never bothered me, and growing up in Texas I was exposed to a fair amount of that. I guess seasonal changes are worse for me than anything else.

DR. Mark Winograd
Suite #151E  5757 West Thunderbird Road, Glendale, AZ 85306
(602) 843-3811
Male, Age 68, Graduated 1969, Albert Einstein College Of Medicine Of Yeshiva University

you can make an appointment by calling 1-888-272-1045

Thanks for the hook up!!! Gonna give him a call!!!

Sauna'd yesterday morn and lasted 15 min. Just chugged red bull and think my cycle is starting. Heat and Low pressure combo me into trouble.

Never heard of using Alavert. Gonna try that too