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Good on you, spud!!!!!!!!!!!!!!!!! As jon' suggests, it might not hurt to have a triptan, too. If the nasal spray works for you (as it probably will) for backup to an O2 system, that's great. If only injections work, be aware that you can reduce the physical and financial consequences very significantly by getting three shots from each autoinjector. We can help you cross that bridge if you come to it.

...throw in an energy drink or strong caffeine drink slammed at first sign of hit.....with a box of zomig ns (5 mg) back for abort of last resort and you are golden.... ...D3 and or 'shrooms may make the above moot....

Hey Jonathan. Just ordered a 0 to 25 lpm reg and the O2 kit from Clusterheadaches.com. Waiting for the doc to call back for an O2 prescription. If I had a dime for every time I heard that line. I am the poster child of procrastination even to my own demise. LOL Thanks for the advice. Once I get my O2 rig going I will definitely follow up to let you all know. Spud

Been awhile since I have said hi. I went ch free for 8 months. Then bam! They are back. Went 5 years 3 or more ch a day with no break. 8 month break made me think I was cured. Wrong! Busted 2 times this last 10 days, feeling much better. Busting again soon. Not suicidal. A huge bonus. Found I am very fortunate that I sold my guns. Hmmmm. Hope all have a pain free day. Loves from Montana.

...hi Snowflake.... ....many meds have completely different effects the first time (few times/weeks?) compared to what is achieved ongoing. or, once efficacy achieved, there may still be the "slap backs" we are all familiar with. i would caution not to make a final decision on ketamine based on one experience...especially one where you were prepared and able to abort so quickly (in my mind, what's one more hit aborted out of thousands)... ...you know your body best so these are just thoughts....but i would consider myself fortunate to have the option of trying ketamine in what sounds like an ideal setting...it was never an option for me and many... best jonathan

you're making me nuts spud....ONE abort with O2 will make it a worthwhile "get" and probably eliminate the need for most if not all the meds you've tried/trying.....i can still cry at the memory of the first hit being aborted like water down a drain.... and that was almost 40 yrs ago.... ...imagine doing that with O2...it's about a thousand times more effective... ....used to happen to me....had the O2 tank set up next to bed ...everything ready to go...slap the mask on and crank the valve....3-5 mins later back to sleep. keys: rig ready, train yourself to wake upon hit (it's hard but doable), keep lights off/eyes closed, activity minimal, no angst/anger/adrenaline, try not to fully wake....no thoughts...just breath..... ...yes...do the D3....and water is good best jonathan

I would continue to caution and emphasize nuanced differences. Do not let desperation be your guide. There is much confusion regarding psychedelic treatments and expectations. When it comes to psychiatric conditions like PTSD, treatment resistant anxiety, treatment resistant depression and end of life trauma psychedelics act like a conduit to facilitate active therapy. To achieve maximal benefit the psychedelic therapy should incorporate preparation, a psychedelic experience in proper set and setting with a knowledgeable guide/therapist and meaningful integration. This can take many forms and most societies have appropriate folks to serve these roles. Cluster headaches are a bit different. intervention with the psychedelic may actually be therapeutic without all the other support. Sure being properly prepared and tuned in makes the experience positive and certainly the "afterglow" helps deal with some of the life altering effects clusters cause but psychedelics seem to have robust effects in many to space out or stop cluster cycles. We still need better evidence this really works but it sure seems to have promise. So taking ketamine by itself even if the administrator has skills solely related to safe administration has the potential to be effective for cluster headache relief. If you want it for anxiety or PTSD adjunctive therapy is important. If you do pursue seeing a person qualified to administer ketamine therapy be sure to ask them to include some decadron (steroid) and have the high flow O2 available.