Yeah it's a long similar story as what im finding out through reading various accounts and explanations that other cluster survivors describe. The undiagnosed ADHD is the big key for me because the cluster headaches started for me in May 2025, 2 days after starting vraylor which was not something I easily agreed on but since id spent over 25 years treating anxiety with SSRI, SNRI, Benzos and counseling, I decided last year to talk to my providers about treating the ADHD that has always been crazy noticeable about me(not in a bad way I swear lol) that maybe that might actually cure the anxiety and it did. But not before a provider wanted to rule out one more mood disorder before moving on to treating the ADHD. I felt at the time that medical history should matter more because honestly it felt like mine was worth nothing. But I'm a good patient. So I started vraylor and day 2 the clusters hit. Day 3 I easily decided that vraylor was never going to enter my body again. Days 3, 4 and 5 were bad. The clusters started around midnight each night. Than started progressing to earlier, than more, than earlier, than more and eventually 8 weeks later July 24th was my last one. I started ADHD meds the following month and realized or felt that Dopamine was something worth looking into but not for treatment for CH but more like there is a link between dopamine, serotonin and CH. That led me to find many published research papers on dopamine, serotonin, mast cell(this one hurt to learn the wheels of profit because of the results of triptan were widely accepted that mast cell research has been dormant ever since as far as I can tell) that was around late 80s early 90s when triptons came out. This ties directly into my first couple forum reads on here where some of us guys use cialis and apparently I am the oddball of the general consensus of it being agreed on as a trigger for CH(thankfully) because ive taken it for years. Sometimes everyday, sometimes weekly but that led me to search why the heck something that is like 50 to 1 on triggering vs has never triggered me could be. Dopamine deficiency or untreated ADHD effects the way vitamin D(d3 reg) will work in us. D3 works because it boosts dopamine production in the hypothalamus, the clock,and not just because it's anti-inflammatory. The people it doesn't work for probably have dopamine low enough that D3 alone can't get them above the tipping point. I've not found any research that connects these but the individual researches we see all touch on it in some fashion or another.
I have been hesitant to comment and share these findings because as CH survivors we know. We know that the pain of the beast is more than any one person should have to suffer through and I see a loving community here. I'm not trying to burst any bubbles of comfort for anyone. I'd love to hear about or find more on CH->NO->DOPAMINE(both in terms of ADHD and the traceable chemical pipeline)->D3->hypothalamus. Please keep in mind I am not saying take speed. I'm just saying why isn't neuroscience, immunology, psychiatry and pharmacology not communicating their findings from decades of research because between the 4 of those fields I see plenty of I dividual bits and pieces of everything we say clusters are and feel like. For me mentally, I had to investigate this because once I got through the clusters, and started ADHD meds for the first time in my entire life, the anxiety stopped. Like really stopped and that in itself is huge for me. But having to go through the clusters first, like directly before it. Just to rule a mood disorder out that 25 years worth of that same thought already ruled out and vraylor being the trigger to the worst pain and experience I've ever endured? The convergence of all of this is why I probably spent the first week of the clusters not understanding how such a simple decision with a med triggered it. Took me several weeks to mentally get past that fully. I haven't done the D3 regimen, or mushrooms or the other stuff I'm reading about on here not because I'm anti any of it but because im new to this still. They haven't returned yet for me. I'm assuming the shadow I keep reading about on here is lingering around though. Sorry for the longwinded read folks.