A member asked:

How do i treat cluster headaches?

12 doctors weighed in across 6 answers

See a neurologist.: There are many ways to treat acute as well as prophylactic treatment. See a neurologist. Treatment is individualized and is sometimes on trial and error base.

Answered 9/28/2016

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Dr. Amy Friedman answered

Specializes in Transplant Surgery

Need effective meds: Sorry you have these most terrible headaches for which typical pain medication - even narcotics, are completely ineffective. Good news is the right medications (sumatriptan, oxygen, Lidocaine in the nose) rapidly turn a cluster headache off once it starts, and that many strategies for prevention of headaches are also successful. Key is accurate diagnosis + compassionate treatment by an expert md.

Answered 11/7/2017

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Make sure of dx: If your headaches are truly cluster headaches, these can be very disabling and difficult to treat. You should see a headache neurologist, but the treatments include sumatriptan injection, oxygen, lithium. Many times reading online may suggest that a headache is cluster, but the most common headache cause is migraine.

Answered 9/29/2016

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Dr. Alvin Stein answered

Specializes in Pain Management

Avoid triggers: When cluster headaches come, there is a need to avoid triggers like smoking and alcohol or any sort. Melatonin may help . The causes are generally unknown.

Answered 9/29/2016

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Dr. Paul Grin answered

Specializes in Pain Management

Cluster Headache: is the most painful of all the primary headache disorders. 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 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.

Answered 4/26/2017

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Rx for cluster HAs: Unlike other kinds of headaches, cluster headaches may improve by inhaling enriched oxygen, such as that available in a hospital or emergency room. They may also be treated with triptan medicines, NSAIDs, and sometimes they can be prevented with the use of verapamil or carbamazepine.

Answered 9/8/2017

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