Hi everybody, 29yo guy from australia here. had cluster headaches most of my life, up until I was a teen they were very sporadic coming months apart and were mistaken for migraines by everyone including myself. I still say migraine most of the time when talking about my headaches out of habit, and I'm getting the feeling this is a big whoops.
Last 4 years they've come in April with a vengeance while the rest of the year is sporadic attacks weeks or months apart. They've nearly cost me everything professionally, academically and socially.
2 things I read that I knew I was in the right place.
"falling asleep during a cluster attack is NOT POSSIBLE."been awake for 28hrs with a 28hr long dull thud that keeps spiking in bouts of claw hammer in the eye socket pain every 2 or so hours, even more painful if I try to sleep. Oddly enough I'm not tired in the least.
"Many mothers who are cluster sufferers describe it as a pain much worse than natural childbirth."I was going to suggest this to a nurse but she looked like a mother and I figured she might hit me in the head if I dared hint at it.
I've been prescribed a lot of things over the years, this is what I can remember without thinking too hard.
Panadeine forte: (prescription in australia) taking this at the moment, probably because I kept saying migraine instead of cluster headache at the emergency room. It isn't doing much for the pain and can only take so many in a day.
Cafergot: seemed to work as a preventative, but once again can only take so many in a day and have to catch the headache before it develops. It hasn't helped at all with the April spikes. I suspect my out of cycle headaches are quite short in duration so whatever I take it seems like it gets rid of it.
Variety of anti-depressants: (Endep and Effexor 2 most familiar) I've been diagnosed with anxiety-depression and that's what they gave them to me for, not headaches. Hard not to be anxious and depressed when ya got cluster headaches I figure. Read a few things about Endep possibly helping with headaches, and I have an inkling my headaches are related to serotonin and/or dopamine levels somehow.
I have a very low opinion of anti depressants after numerous negative reactions to several different sorts, I even suspect they've caused some of my problems. I do accept that they work for some people, just not me at the moment.
My past mode of coping with the april headaches is rage blindly, drink heavily, destroy everything in my life.

Thought I'd do something different this year and I'm
trying to work with doctors to find a way to manage them. Not much luck so far. routine cat scan coming up, not expecting it to turn anything up, it didn't 4 years ago. Off to a specialist after that I hope.
Coping with my out of cycle sporadic headaches consists of PAAAAIN, OTC painkillers/sedatives, pain subsides, sleep. As said earlier I don't think the pills are actually doing much and it's just the headaches are much shorter and the pain slightly less severe. So when the headaches subsides and I fall asleep I think it's the pills. Slowly wising up to the patterns, but yeah I expect they'll change once I think I have a firm grasp of something.

Pleasure to meet you all, kinda...
I'm guessing you've all heard the, "I think you'll have to amputate doc." line 1000 times.