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Hi A-Z, If you consider triptans for your shadows (especially if they are long-lasting) you can have a look at the ones with a long half-life which are a better fit for this type of pain. The two in that category I am thinking of are Frovatriptan and Naratriptan. They also tend to have less side effects than the fast-acting ones. Just pay attention not to mix different triptans together. All the best ! siegfried

Hi, Siegfried and Wes Helms. To Siegfried: Lot of thanks for useful information. To Wes Helms: Sad to hear about your Lithium story. I have not taken D3 during attacks but as a preventive med, however, in my experience D3 should be taken in less amount with gaps. Search in this regard about D3 dosage. See what suits you. Yes, i am too in planning for MMs, lets see what effect they have on my Shadows and mood. A-Z

A-Z, I have taken lithium for over two years now, it helped me for over a year in preventing with little to no side effects. I thought I had found what worked for me. The side effects began with confusion and intense anxiety to the point of panic attacks. And eventually did nothing to prevent my current cycle. I have recently weened myself off of lithium and am hitting the D3 regimen hard. I plan on taking mm as well if after ten or fifteen days the regimen does not help me. In short, lithium may not be worth it when there are other healthier options with less side effects. PF wishes! Wes Helms

A-Z, Over the years there have been two people that joined the board that were either partially or completely blind from taking Lithium. I can only guess their doctor didn't monitor them correctly. J