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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
4,158 doctors shared insights

Headache (Definition)

The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...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 (esomeprazole). 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 (esomeprazole). 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?

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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Can verapamil cause weight gain? I take it for cluster headache prevention (only during a cluster preiod)& I just did a huge diet. Dont want to gain.

Can verapamil cause weight gain? I take it for cluster headache prevention (only during a cluster preiod)& I just did a huge diet. Dont want to gain.

Not reported: Weight is not one of the reported side effects. Neither gain nor loss - neither common nor rare. So, while there are many to watch for and tell Dr about if they occur - the one you care about is not likely at all! ...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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Can Maxalt (rizatriptan) be used for cluster headache? He experienced his first one and was in tears from pain.

Yes, you can try: Management of a cluster headache can be abortive or prophylactic. Sometimes, both methods are indicated in the same patient. An effective abortive treatment uses oxygen or sumatriptan or DHE. The treatment of choice for the prevention of both episodic and chronic cluster headache is verapamil. ...Read more

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What is a cluster headache?

What is a cluster headache?

Cluster headache: is the most painful of all the primary headache disorders. Because of the intense pain, cluster patients often pace the floor or bang their heads during headache episodes. The pain of cluster headache is excruciating and it is not unusual for a patient to yell or cry. The headache is unilateral and is centered behind or around the eye with autonomic symptoms. See a headache specialist. ...Read more

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Dr. Amy Friedman
250 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