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Dx Cluster Headache Treatment:

Cluster Headache

The Merck Manual Home Edition states:
"A cluster headache causes severe pain that is felt at the temple or around the eye on one side of the head and that lasts a relatively short time (usually 30 minutes to 1 hour). Headaches usually occur regularly during a 1- to 3-month period, followed by a headache-free period of months to years.

*Excruciating pain occurs one side of the head, causing the nostril and the eye on that side to water.

*People are often restless and pace.
*Doctors base the diagnosis on symptoms.
*Oxygen, given by a face mask, or drugs are needed to treat headaches.

Cluster headaches are relatively rare, affecting about 1 to 4 of 1000 people. Cluster headaches are more common among men. They typically begin between the ages of 20 and 40. Drinking alcohol may trigger attacks. [Cluster headache patients have been know to commit suicide to stop the pain]."

Medications Used in Treatment:
1. Ergot Derivatives: DHE®-45, Imitrex® stat, cafergot, Sansert®
2. Anabolic Steroids: testosterone pellets
3. Oxygen by face mask
4. Corticosteroids: Prednisone®, Medro®l, Kenalog®
5. Occipital or trigger point nerve block:
6. Migraine preventatives: topiramate, valproate, verapamil, lithium

Suggested Links:
*N.H.S. Choice

*[Editor]: Anabolic Steroids, whether used by Stillman at the Cleveland Clinic or by Klimek in Poland or by the Editor in his website Case Reports over the previous 20 years, can be preventative and effective. See the entitled "Cluster, Hormonal Migraine and Tension-type Headaches" Video. The pathology is clear: all researchers report low levels of blood testosterone during the cluster attacks. The Editor goes on to also identify high levels of Sex Hormone Binding Globulin (SHBG) resulting in a low Free Androgen Index. When corrected with appropriate testosterone pellets, lowering the SHBG, blocking the higher estradiol levels,and rebalancing thyroid and adrenal hormones , these men with cluster headaches have gone years without attacks.

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