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Yes, caffeine is a great vasoconstrictor. My clusters also last about 8 weeks. (Almost every year or so for 25 years.) But I don't know what a mild CH feels like -- I'd rather "check out" than face a full-blown cluster without oxygen. I've been able to skip a couple years by doing the following: at the first indication of a shadow, completely cease both alcohol & exercise, and start taking 100 mg of caffeine every four hours.

Hi vanguard Caffeine has been discussed on here quite a bit with mostly positive references. It is know to help quicken the abort time when using O2 (quick shot prior to jumping on the tank) as well as helping with all sorts of things us cluster heads suffer with so my guess is that no, it was not a placebo. It's hard for me to be certain if something definitively caused an abort or if the CH attack just happened to end at the same time but I do remember grasping for straws one hellish attack and having it end with a cup of coffee..

I'm just super grateful that the condition is tamed with less cycles and supportive tools for when in cycle. I consider it a huge win. DMT vape pens are magical abort tools for our condition.

Follow your instincts & wisdom & knowledge of your own body, Jimmy. Adaptation for survival. On Verapimil you wrote on November 21st: "...it makes me feel very "off" and like I'm going to have a heart attack or seizure. And I feel very nervous exercising or exerting myself while (I) take it. " Being active & outdoors on average 2+ hours/day is the game changer that shifted my "new normal" for my Chronic CH. We are all unique physiologically & changing too. Exercise sounded insane to me 16 years ago when I had Episodic CH. When you are able to go 5 days without meds that are blockers (& cause rebounds) it may be possible to try busting again with better results. Have your O2 ready & cold caffeine if a CH hits. Ginger soft gels & CBD/THC help me with nausea. Still busting every 7 days since starting out with every 5 in September after getting hit at the CB Conference & getting rescue O2 & compassionate support & encouragement from our CB family. Grateful. Best wishes.