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Maybe you've already checked, but I wouldn't assume that oxygen will not be available at the location of your destination wedding (congratulations). Depends on where that destination is. Some providers will arrange for tanks at US and non-US locations, or know something you can do to get tanks, so check with your provider. In some resort-type places, there are businesses rent medical oxygen cylinders (might or might not need a prescription). I think with some persistence you will be able to find something almost anywhere. Hopefully, you'll knock out your current cycle long before the happy day. You don't mention energy shots/energy drinks -- do they work for you? I guess I wonder whether, if all else is failing (which we are not expecting to happen), you might get some injectable sumatriptan to have on hand.

Agree the O2 is a waste if you dont have the proper flow rate, proper mask set up (or Bathes red neck set up) and the correct breathing technique. Don't give up until you can do it properly. Also are you using imitrex oral or injection. It is very unusual not to get a response from subq imitrex in most of these headache syndromes. D3 can take a while and make sure your are using all of the components especially at the introduction

G'mornin michfan and welcome to the community! The nasal cannula is completely useless for clusters! At the very least you need a standard non rebreather mask and the best option is a optiO2mask available in the clusterheadaches.com store! I routinely abort hits in 5 to 8 minutes with O2! Dallas Denny

day 5, no ch, no pain, no shadows, weather changed and I was not effected, still getting over some side effects of the steroid, I have or have had about 1/2 of the side effects listed for Dexamethasone, nothing I can't get over .... peace