Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Horton syndrome basically has frequent cluster headaches
. Its unfortunate that methisergide (Desiril) is no more available for you. We will have look for the alternatives and among the alternatives I prefer using either Triptans or Valproates in my patients. They do well with these drugs and have a good control of headaches.
can be given ones the headache starts and valproates can be given daily as a prophylaxis of cluster headaches.
If your headache do not respond to these drugs as well then the other option for resistant cluster headaches is Amitriptyline
. At 25 mg per day it provides a good control for cluster headache. Even Biofeedback therapy provided by psychologist
is a good alternative.
You may discuss all these options with your neurologist/psychiatrist
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
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Wish you good health,
Dr. Srikanth Reddy M.D.