Chronic Cluster a Year OR Longer? in General Board Posted October 12, 2019 This is pretty constant no real break. I was unable to take verapamil as it tanked my BP so bad I was falling. O2 kinda helps but not really so, on my budget for the little, it does do it really isn't worth it. Sumatriptan injections were my best friend but are becoming less effective, Topomax is now up to 150mg twice a day than throw in the TN medications. 3,600MG daily of gabapentin, Carbamazepine being moved down, so now down to 300mg twice a day to make room for the "New Med" Dilantin just starting so only at 200mg a day, but that will only go higher. As it is ATypical, ALL surgical options for my TN have been removed. But as a plus, I do get as much Zofran as I need. I am really sorry to vent but right this minute my head/face hurts so very bad and nothing seems to help. I have very few headache-free days and I can't always abort them, plus ATypical just means it will always hurt and there is nothing other than medication that can be done Neurosurgeons won't touch you with that label. I can actually get psychedelics but my Wife really doesn't want me to do that as I may have done more than my fair share growing up. I heard that melatonin might help?