I've had Ice Pick headaches for 5-6 years now and initially discovered that two drugs were the trigger -- lopid (genfibrocil) and Trilipix. When each was stopped, the head aches eventually stopped. Since I have high Triglycerides, I then tried Niacin and although I don't think it had caused a problem before, it is now a trigger. Anything with a lot of niacin will trigger an attach - generally within a couple of hours - of 3-5 short but severe ice pick headaches. For example, most non organic cereals have 25% of mdr of Niacin. They cause headaches. Anything with enriched wheat -- where the niacin is added back in to "enrich" the wheat, will cause a head ache or two. I've done the MRI, melatonin, indomethacin treatments and got little help but with the absence of niacin (which is not easy to do), I am seldom having an attack. It is worth a try if you are suffering from ice pick headaches!View Thread
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