What is the best way to treat a cluster headache?

Cluster headaches: Oxygen threpy 100%12to15litres per minute, tryptans second line drugs are lithium, valproic acid, Gabapentin and topamax local analgesics like Lidocaine sprayed in the nostrils will sometime stop the pain.Cafergot (ergotamine and caffeine) was used in the past but rarely used these days.

Several: Cluster headaches may be treated in seval ways - Like those with migraine, for instance triptan medications. Oxygen inhalation may be helpful. Depakote, given intravenously and intravenous compazine (prochlorperazine) have been used for acute attacks. Tricyclic antidepressants like amitriptyline, Depakote Topamax and Beta Blockers may help prevent headaches.

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.

Cluster management: Since a cluster headache is severe but of such short duration, treatment must provide fast relief. An effective abortive treatment uses oxygen at a flow rate of 7-10 liters per minute. The treatment of choice for the prevention of both episodic and chronic cluster headache is verapamil (Calan), a calcium channel antagonist. See orofacial pain or headache specialist.