wimsey1 wrote on Apr 25th, 2012 at 7:26am:Ricardo, I have no academic background with which to substantively argue your examples, except from my own experience. Just to take two of your examples: ginger and pseudophedrine. Ginger has helped me not in the least, while I accept it has helped some. Pseudophedrine has helped, at least in the beginning, and has never been a trigger for me.
I think that what you're saying drives home my real point very well--that there is NO drug that can reliably GIVE everyone a cluster, and there is no drug that can take away everyone's cluster. My guess is this has more to do with individual brain chemistry than the idea that "these people don't have clusters because there clusters don't act like mine"
I also think that you would be hard pressed to find any cluster headache researcher that still subscribes to the idea that vasodilators= bad/vasoconstricters= good for clusters.
I understand your personal experiences, everyone is different. But here is one study (again with migrainers, but the whole dilation/constriction theory that they have thrown at us has consistently been the same for migrainers and cluster sufferers) showing a combination of feverfew and ginger, both vasodilators. The conclusion was that it was "safe and effective as a first-line abortive". This shows that not all vasodilators are going to trigger you, and some of them may actually help.
Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

I suggest we move away from telling people that marijuana is a trigger because it is a vasodilator, and move towards telling people that for some reason that we do not yet understand, some people are triggered by marijuana, some people get relief, and some people have no effect on their clusters.
If it helps at all, I'll give you a bit of my experiences. Right now, I am being treated by a one of the first Neurologists that I have thought actually seems to know what he's talking about. He has passed the United Council for Neurologic subspecialites headache medicine exam--the ONLY accreditation out there to prove that you know what is up with headache medicine.
Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

His diagnosis is that I have cluster headaches, and he knows that marijuana seems to help me. If anyone else has passed a rigorous test like this, and disagrees with my neurologists opinion, I will be glad to reformulate my ideas.
Last thought--to me, it really is no surprise that we have such varied reactions to Cannabis. I know many people that have tried recreational marijuana, and you will hear some people say it makes them anxious, some it calms them down. For some it wakes them up, for some it makes them sleepy. Some it inspires creativity, some it makes them stupid and stoned. My guess is that individual brain chemistry and cannabanoid receptor differences makes it so that all sorts of people get different reactions.
And ya'll are right...we should try and make this a yellow sticky

-Ricardo