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Table 15 Pharmacological treatment of cluster headache

From: Reference programme: diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 3rd edition, 2020

Type

Dose

Attack treatment:

 Inhalation of 100% oxygen

12–15 l/min via O2ptimask [36] w. 3 l reservoir or DVO mask

 Inj. sumatriptan

6 mg

 Sumatriptan nasal spray

20 mg

Preventive treatment

 Tablet verapamil retard

Initially 100 mg × 2 for 3 days, hereafter 200 mg × 2. Possible further increase to 400–600 mg daily. Rarely up to 1000 mg

Transitional treatment

 Occipital nerve block (GON) / tablet prednisone

Please refer to text

  1. DVO demand valve oxygen