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Doctor insights on: Verapamil Cluster Headache

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40mg fluoxetine-panic disorder, 180mg verapamil-cluster headache prevention (daily).Can I take rizatriptan pill 1hr after those meds for the headache?

40mg fluoxetine-panic disorder, 180mg verapamil-cluster headache prevention (daily).Can I take rizatriptan pill 1hr after those meds for the headache?

May be risky: Taking Fluoxetine, a serotonin reuptake inhibitor, along with a triptan, a serotonin receptor agonist, increases the risk of serotonin syndrome.The syndrome consists of mental status changes, autonomic dysfunction, and neuromuscular abnormalities. Taking Fluoxetine with Verapamil, or Verapamil with Rizatriptan does not pose problematic interactions. Discuss concerns with doctor. Hope this helps. ...Read more

Dr. Bennett Machanic
4,049 doctors shared insights

Headache (Definition)

Also called cephalalgia, is pain anywhere in the region of the head or neck, & can be a symptom of a number of conditions affecting those areas. It originates from pain-sensitive structures such as cranium, muscles, nerves, vessels, subcutaneous tissues, eyes, ears, sinuses & mucous membranes. It is non-specific symptom & can be primary such as tension ha, or secondary ...Read more


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Take all at the same time daily 40mg fluoxetine for panic disorder 180 verapamil for cluster headache and 20 nexium. How long after can I have a beer?

Take all at the same time daily 40mg fluoxetine for panic disorder 180 verapamil for cluster headache and 20 nexium. How long after can I have a beer?

Best Practice...: May be best not to have a beer though we all recognize that is unrealistic for some people. However, studies have shown that people with moderate to severe depression and/or anxiety can be even more treatment resistant with just one drink (alcohol is a CNS depressant with increased anxiety as it's metabolized). That being said, one beer (12oz @ 5%) may be ok with these meds but not recommended. ...Read more

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If you have POTS and taking verapamil for cluster headaches is it safe? Cause I think verapamil makes me feel sick and nervous. Neuro said it's safe.

If you have POTS and taking verapamil for cluster headaches is it safe? Cause I think verapamil makes me feel sick and nervous. Neuro said it's safe.

Nothing unsafe: However, if verapamil makes you sick and nervous I'm unclear as to why you're taking that drug and not something else? There are much better medications to try for cluster headaches. However, there is nothing UNSAFE about verapamil and POTS. ...Read more

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Hello Is it safe to take 360mg verapamil daily for chronic cluster headaches when you have a tiny Mitral valve regurgitation 1/4?

Recommended: The treatment of choice for the prevention of both episodic and chronic cluster headache is verapamil Verapamil also increasing the size of the left ventricle, thereby reducing the degree of prolapse. You have one medication with multiple benefits. It has been estimated that 10% of cluster patients may not respond to medications and you are the lucky one. Take care. ...Read more

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What vitamins/ supplements could help chronic cluster headaches and safe with verapamil combination? Melatonin? Vitamin b?What dose and for how long?

Might try this:: Cluster headaches are more resistant to these OTC remedies, but might apply migraine approach with Vitamin B-2, riboflavin 200 mg twice daily, or perhaps, Co-Q10, 300 mg twice dally. If one or the other works, use for about 3 months after headache has ceased. ...Read more

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What do you recommend for cluster headache?

What do you recommend for cluster headache?

Various treatments: Imitrex, oxygen and other meds are good for cluster headaches. If there are spots on your head that you can press (in front of your ears, your eyebrows, or temples) that make the pain go away temporarily, then a procedure to ligate the arteries of the scalp in these locations can relieve the pain in most patients. ...Read more

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I've got cluster headache. Now what?

See doctor: There are a number of treatments for cluster headache. First of all, preventive treatments are the first thing. Sometimes inhaling high concentrations of oxygen will stop a cluster. Also, triptan medication is effective for some people. There are a number of different approaches to preventing cluster headache. ...Read more

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What is the best way to treat a cluster headache?

Meds and oxygen: Oxygen and sumatriptan injections are helpful abortive treatments for cluster headache. Most cluster patients need steroids and a preventative medication like valproate or verapamil. Make sure the diagnosis is correct and they are not migraines. ...Read more

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Dr. Amy Friedman
243 doctors shared insights

Cluster Headache (Definition)

Cluster headaches are an extremely painful type of headache that is commonly described as a stabbing sensation through the eye. They usually occur on one side of the head, ...Read more


Verapamil (Definition)

is the most effective of the calcium channel blocker ...Read more