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I get clusters as well... had them for many years (I'm 34 now), and I would be completely incapacitated for weeks back when I worked a regular job. That's actually one of the reasons that Alysha and I started her site back in 1999.
I still get them now, and up until recently I started taking an Imitrex injection each time I would feel them coming. The bad part about that is that they cost $100 a shot (my self employment insurance doesn't cover it), so I've had weeks where I've spent enough to buy a small car, lol.
But, this past May I was reading about Botox and it's effect on Migraines/Clusters. I decided to give it a try and had Botox injected into my forehead near my headache trigger point. It worked. My headaches have either gone completely away or dulled to the point where a Percocet will usually do the trick.
Botox doesn't last forever, though, and I actually just went back and had another treatment last week because I felt another series coming on (mine start weak and get stronger during the cluster). Again, since then I've been fine.
I've been told that Botox won't work for everyone... but you should give it a shot.
EDIT: BTW, I don't smoke and I barely drink. My neurologist doesn't know what triggers mine.
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