Greetings. I suffered from clusters since I was a teenager. I'm now close to 70 years old. When I was working, crazy hours, high stress, lots of coffee, cigarettes, etc. I suffered clusters like clockwork. (Sometimes, the cycle would begin a year to the day from the date of the last prescription, it was uncanny). I was using some ergotamine based pill prescribed by a neurologist that eventually got taken off the market in the U.S. The headaches were really killing me.
I discovered Larry Newman, MD. who, at the time, was at St. Luke's in NYC. (He's now at NYU). He knew clusters unlike a lot of neurologists who just randomly picked medications that were part of the migraine treatment menu. I went through several in-hospital stays getting IVs of DHE 45.
Finally, after a brain scan, I was told that I would likely have a stroke unless I quit smoking. The conventional wisdom at the time-- before 2010-- was that smoking was bad, but was not contributing or causing the headaches. I was a pretty heavy smoker and enjoyed it. But, the idea of a stroke scared me-- fast death OK, slow, agonizing wheel chair life, not so much.
So I did a stint at a smoker cessation program. And guess what? No cluster headaches since. It's now been around 12 years. It's a miracle. Hey, I'm not down on smokers- I was one for 40 years and really did NOT want to quit. I enjoyed it. But, lo and behold, stopping helped me.
Something to consider. These headaches are a pinnacle of pain that are impossible to describe to somebody who hasn't suffered one (icepick in the eye only starts to describe it). Man, I feel for anybody in the clutches of this stuff. I used to post on a Cluster Headache forum that I'm not sure still exists. But, I found this place. I get that you are supporting Psychedelics as a treatment and at the time I was dealing with this last, Harvard was supposed to do a study. I don't know if that happened.
So, treat this as a PSA. Larry Newman is an awesome doctor if you are anywhere near NY. And in the meantime, my regards to all of you.
I'm not sure what motivated me to sign up and post this other than to give back.
Bill H.