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Antidepressants as preventative?


Matthew Funk
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Context:

I've had a minor case of Clusters for about 10 years (1 attack every 1 to 2 days) usually in cycles of 3 months on, 9 months off. Currently I'm on a 5 month cycle and my attacks have increased to 1 to 2 every day. I use sumatriptan injections to abort (self dosing at 2ml per) with great success.

Today I visited my doctor to try and get some further help and he asked if I have tried any preventative treatments. I have not. Without hesitation he prescribed me antidepressants. Is that a thing? In all my research I don't remember anyone every talking about antidepressants as preventative. By the way, I have no history of depression or depression drugs.

Thanks for your input!

 

 

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On 9/20/2024 at 1:21 PM, Matthew Funk said:

Without hesitation he prescribed me antidepressants. Is that a thing?

Well....many antidepressants have been sister medications for migraine and Ch. You did not specify the medication/antidepressants scripted but most are not effective for CH. Your doc should have first and foremost scripted oxygen as an abortive then maybe verapamil.. which currently is the so called gold standard of treatments not that it means much in the way of CH. The D3 regimen should be looked into as it has helped many more than verapamil..

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  • 2 weeks later...

Hey Matthew @Matthew Funk, people on here might be able to help a bit more if we knew your script. If you have some stigma with regard to revealing it that's ok 2. There are many migraine meds that get scripted to us cluster heads (typical) but not so helpful unfortunately.  I am also going through a rough patch with my CH and utilize a few different methods of preventatives. Have you done any research on the D3 protocol? Or the "Full Monty" D3 reg ?  Both have pretty good results. Did you ever speak to your Dr. about O2 as an abort? It's important that you do as it could really help. Lastly, please read the new users banner as that may help you immensely as well.  Feel free to ask and ask again if need be. I  hope you get through this relatively unscathed. Your not alone here.

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22 minutes ago, Shaun brearley said:

Oh dear that's not good @BoscoPiko, hope you don't go into full cycle, I'm guessing you have everything needed to bust before the bunny clambers out from under his rock, I was stupid and let my arsenal go dry as wasn't expecting to get hit yet, 

Already started trying.. I have all crossables crossed that you get out of cycle and I don't go in!!!

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It's bad enough that Dallas Denny is going into a full cycle, now I'm hating the [BLEEP] out of this thread, with the news that the cluster bunny has gone completely ape on everyone right at the same time. WTF is happening?!

@BoscoPiko I have to imagine you're getting real serious with the RC for the counterattack?

image.thumb.jpeg.40212f9211884fc87aa254d842d516fe.jpeg

 

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Lol jeebs I'm super serious! Grind, soak gag and choak over here.. it is odd that so many of us are same timing it.. I have upped everything so much that my tummy hates me! Uff.. the porcelain God has manifested its self and seems to think i should pray from both ends:o This 2 shall pass. In the famous words of @Dallas Denny...ONWARD!!

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"Pray from both ends". That is another REALLY good one :lol:, for a really awful situation. :o

You must be reaching some genuinely therapeutic levels to have had such a reaction, right? I mean c'mon, there's gotta be an upside there somewhere. 

 

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Well damn!  That just sux and bloze as the jeebster would say!!  Sorry to see that the Beast is having his way with so many of us!!

On a positive note though, I'm thinkin maybe the bastard Beast overheard a conversation I had in the past couple of days regarding DiMiTri and got skeered!!!  After having heavy shadows all day I went to sleep at 9 last nite and woke up at 8 this morning......zero, zilch, nada in the hits department!!  This after 2 back to back 6 hit nites!!!  Feelin quite refreshed this mornin so my mantra at bedtime going forward shall be, " better behave Beast or I'll get DiMiTri after ya!!!"

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Earlier this year (late April - August), I had an unusually long cycle (for me), and I was prescribed Cymbalta 60 mg. As I still occasionally experience shadows after strong emotions or when I push myself too hard in the gym, I was advised to keep taking the medication for the next 6 months. I don’t see any clear benefits from it, honestly. However, since I’ll be living in different countries over the next year, I didn’t object to having a bit of support, even though I don’t feel there's a real need for me to be on an antidepressant. My main concern is the potential withdrawal side effects, which I’d rather avoid while moving between countries.

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