Hello there guy's my name is Tristam i am 32 and live in england. I recently have been diagnosed with cluster headaches and have jsut come out of hospital. I have been getting the pain behind my eye etc etc for about 7 weeks now every day! They start at 11am and finish about 2pm then start up when i go to bed. Until yesterday because i was only diagnosed on sunday i had only paracetamol and ibuprophen. I collected some Zomig rapimelts you place under your tongue and some 80mg of prednisalone steroids. The doc told me to hold off steroids try the zomig first  so last night i took zomig about 8pm and about 30 mins later i had chest pains in top right of chest and down my right arm. I also felt heavy in my throat and my right lower jaw was aching!!! In between hospital visit i saw doctor who prescribed me imigran injection so i took it went to sleep and woke up cross eyed!! I was convinced that that caused it they found i had a 6th cranial nerve palsy but this lasted three days i was very scared! Anyway my squint went and am back to normal now don't know what to do i am scared so scared to take triptan but they help well sort of i had to take paracetamol and ibuprophen last night as well!! can someone please please shed some light??People think it's just a normal headache!!!!

Not everyone can use triptanes...
Check with your doc, he should be able to prescribe you other abortives (O2).
In the meantime get some energy drinks and slam them down at the first sign of an attack.

If I understand your msg correctly, you are or have, used zomig and imigran at the same time, or within hours of one with the other. Dangerous! You must coordinate the use of meds with the docs with ONE of them being the final decision maker.

If one of these meds is working, then you will not need any pain med. As you have discovered, OTC meds don't work with Cluster.

Please make contact with you local support group:
Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or . Excellent group related to the OUCH group (button, left of this page).

These links will give some basic information re. therapies:

HERE ARE TWO MAJOR DOCUMENTS WITH RECOMMENDED TREATMENTS FOR CLUSTER HEADACHE, ONE FROM A U.S. PHYSICIAN, THE SECOND FROM EUROPE.
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Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to or
Here is a link to read and print and take to your doctor.  It describes preventive, transitional, abortive and surgical treatments for CH. Written by one of the better headache docs in the U.S.  (2002. Rozen)
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Treatment guidelines from Europe

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A. May, M. Leone, J. Áfra, M. Linde, P. S. Sándor, S. Evers, P. J. Goadsby:
EFNS guidelines on the treatment of cluster headache and other
trigeminalautonomic cephalalgias.
European Journal of Neurology. 2006; 13: 1066–1077.

Download free full text:
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(Thanks to "cluster" for link.)

Bob Johnson wrote on Jun 18^th, 2008 at 11:39am:



DITTO, mixing tripans can kill you.  You must wait 24 hours or more before switching one to the other!!!  Don't ask me how I know first hand about this  

John