Cluster Headache

Clinical Features: 

• very severe ,unilateral ,non throbbing pain
• Nausea & Vomiting 
• peri-orbital & recurrent 
• lacrimation 
• nasal congestion

Duration: 30min-3 hours

Others: Horner's syndrome

• ptosis
• miois
• Anhydrosis

Rx:

• Counselling 
• High Flow oxygen inhalation (10-15L/min) by face musk / headbox 

1.Cortan([post id="479" title="Prednisolone"]) (5mg) 

• 3+3+3........3 days 
• 2+2+2........2 days 
• 1+1+1........3 days 
• 1+0+1........3 days 
• 0+0+1.......3 days 

2.

• Tab. Voltalin-D ([post id="448" title="Diclofenac-Sodium"])...1+0+1......3-5  days

OR 

• Tab. Flexi ([post id="454" title="Aceclofenac"])(5mg) ...1+0+1.......3-5 days 

3. Cap. Sergel ([post id="392" title="Esomeprazole"])(20mg) .....1+0+1......15 days 

Lifestyle and home remedies:

• Stick to a regular sleep schedule. Cluster periods can begin when there are changes in your normal sleep schedule. During a cluster period, follow your usual sleep routine
• Avoid alcohol. Alcohol consumption, including beer and wine, can quickly trigger a headache during a cluster period.