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Hi mate so glad your getting some relief from the amount of hits you we're getting

Skip to page 394 if you would like, here is a clinical neurology textbook on Sleep Disorders. Sleep Disorders and Neurological Diseases https://elearning.medistra.ac.id/pluginfile.php/592/mod_folder/content/0/Sleep Disorder.pdf?forcedownload=1#page=368 I skimmed this NIH paper, Classification of Sleep Disorders, and it may help https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480567/pdf/13311_2012_Article_145.pdf I hate giving bad advice, and I try to avoid speculation. The psychological comes first hand. I know some that take SSRIs such as fluoxetine and sertraline. That is an extremely, fundamentally dangerous, slippery slope. Especially since trauma and nightmares go hand-in-hand. New Insights in post-traumatic headache with cluster headache phenotype: a cohort study (British Medical Journal, BMJ 2020) https://jnnp.bmj.com/content/jnnp/91/6/572.full.pdf

Hi all sorry for the long delay in updates. It appears that the infusions did help or my CH just naturally cycles a little. I finally found a doc willing to work w me using ketamine at home and I am using intra nasal and troches. They also do infusions so I am going to schedule one this week. Since I got back on at home Ketamine my CH has quieted down a bunch but I still get hit. I am using a fair amount of K per month (600-800mg total). But I have built some tolerance since I have been using it a year and a half now. Most docs won’t give you that much per day bc they aren’t used to working w it. You do have to be mindful and not over use it as you can get gall bladder inflammation and gu side effects.

I am surprised that no one discusses LDN, Low Dose Naltrexone. I have used Naltrexone for a few years for complex pain and impulse control, the results are impressive. I do not require APAP (Tylenol): nor do I know of a doctor that would recommend that you take it. Here is a journal from 2021. I am not a doctor but avoid acetaminophen, which is well beyond overkill. All that Tylenol does is destroy the gut wall and liver. https://www.medrxiv.org/content/medrxiv/early/2021/04/01/2021.03.23.21254186.full.pdf Naltrexone is an opioid blocker available since 1984. Liver failure is exceptionally rare, far more common in the atypical olanzapine, which is almost guaranteed. Naltrexone toxicity occurred, of course, in those with shot livers (drunks and junkies). What do you expect? I do not understand the sleep disturbance. My sleep score averages 88, which is good. I have panic disorder. Naltrexone does not foment anxiety. If it makes you tired, please inform me. And, Naltrexone aids in reducing all forms of headaches. You can use synthetic analgesics: I can take up to six, 50mg Tramadol per day, with Carisoprodol.