Increase as tolerated until symptoms are controlled or 300 mgs.
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Has been used to treat cluster headache and was the most effective drug in trials some years ago.
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Antidepressants may usefully be prescribed in a dose, for example, of amitriptyline 10 mg at night, increasing to a maintenance dose of 50 to 75 mg at night.
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Apparently, there are a few people in similar situs that have tried buprenorphine with great success.
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