8 Aug 2009
You will find information on the treatment of cluster headaches at
Naproxen is not one of the recommended treatments.
Treatment does not cure cluster headaches. The goal of treatment is to relieve symptoms. The headaches may go away on their own, or you may need treatment to prevent them.
Smoking, alcohol use, specific foods, and other factors that seem to trigger cluster headaches should be avoided. A headache diary can help you identify your headache triggers. When you get a headache, write down the day and time the pain began. The diary should include notes about what you ate and drank in the last 24 hours, how much you slept and when, and what was going on in your life immediately before the pain started. For example, were you under any unusual stress? Also include information about how long the headache lasted, and what made it stop.
Treatment for cluster headaches involves:
* Methods to treat the pain when it happens
* Medicines to prevent the headaches
Your doctor may recommend the following treatments for when the headaches occurs:
* Several weeks of anti-inflammatory (steroid) medicines such as prednisone -- starting with a high dose, then gradually decreased
* Breathing in 100% (pure) oxygen -- often relieves cluster headache for some people, particularly for frequent cluster headaches that occur at night
A combination of medicines may be needed to control headache symptoms. Because each person responds differently to medicine, your doctor may have you try several medications before deciding which works best for you.
Painkillers do not usually relieve the pain from cluster headaches. Generally, they take too long to work.
Medicines for preventing cluster headaches may include:
* Ergot preparations
* Methysergide maleate
These drugs may have severe side effects. Patients should call their doctor if they have chest pain, numbness or tingling in the fingers or toes, changes in heart rate, or any other unusual symptoms while taking these medicines.
The following medications may also be used to treat or prevent headache symptoms:
* Lithium carbonate
* Calcium channel blockers
In rare cases, surgery on certain nerve cells near the brain may be recommended if medications do not work.
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