Benjamin Wedro, MD, FACEP, FAAEM
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Danette C. Taylor, DO, MS, FACN
Dr. Taylor has a passion for treating patients as individuals. In practice since 1994, she has a wide range of experience in treating patients with many types of movement disorders and dementias. In addition to patient care, she is actively involved in the training of residents and medical students, and has been both primary and secondary investigator in numerous research studies through the years. She is a Clinical Assistant Professor at Michigan State University's College of Osteopathic Medicine (Department of Neurology and Ophthalmology). She graduated with a BS degree from Alma College, and an MS (biomechanics) from Michigan State University. She received her medical degree from Michigan State University College of Osteopathic Medicine. Her internship and residency were completed at Botsford General Hospital. Additionally, she completed a fellowship in movement disorders with Dr. Peter LeWitt. She has been named a fellow of the American College of Neuropsychiatrists. She is board-certified in neurology by the American Osteopathic Board of Neurology and Psychiatry. She has authored several articles and lectured extensively; she continues to write questions for two national medical boards. Dr. Taylor is a member of the Medical and Scientific Advisory Council (MSAC) of the Alzheimer's Association of Michigan, and is a reviewer for the journal Clinical Neuropharmacology.
In this Article
- Headache definition and facts
- What is a headache?
- How are headaches classified?
- What are primary headaches?
- What are secondary headaches?
- What are cranial neuralgias, facial pain, and other headaches?
- 17 types of headaches
- What causes headaches?
- What causes tension headaches?
- What are the signs and symptoms of tension headaches?
- How are tension headaches diagnosed?
- How are tension headaches treated?
- What causes cluster headaches?
- What are the symptoms of cluster headaches?
- How are cluster headaches diagnosed?
- How are cluster headaches treated?
- Can cluster headaches be prevented?
- What diseases cause secondary headaches?
- How are secondary headaches diagnosed?
- What are the exams and tests for secondary headaches?
- When should I seek medical care for a headache?
- How do you get rid of a headache? Are home remedies effective for headaches?
- Headaches FAQs
- Find a local Neurologist in your town
How are cluster headaches treated?
Cluster headaches may be very difficult to treat, and it may take trial and error to find the specific treatment regimen that will work for each patient. Since the headache recurs daily, there are two treatment needs. The pain of the first episode needs to be controlled, and the headaches that follow need to be prevented.
Initial treatment options may include one or more of the following:
- inhalation of high concentrations of oxygen (though this will not work if the headache is well established);
- injection of triptan medications, like, sumatriptan (Imitrex), zolmitriptan (Zomig), and rizatriptan (Maxalt) which are common migraine medications;
- Spraying or dripping lidocaine, a local anesthetic, into the nostril;
- dihydroergotamine (DHE, Migranal), a medication that causes blood vessels to constrict; and
Prevention of the next cluster headache may include
- calcium channel blockers, for example, verapamil (Calan, Verelan, Verelan PM, Isoptin, Covera-HS) and diltiazem (Cardizem, Dilacor, Tiazac);
- prednisone (Deltasone, Liquid Pred);
- antidepressant medications;
- lithium (Eskalith, Lithobid); and
- antiseizure medications including valproic acid, divalproex (Depakote, Depakote ER, Depakene, Depacon), and topiramate (Topamax).
Can cluster headaches be prevented?
Since cluster headache episodes may be spaced years apart, and since the first headache of a new cluster episode can't be predicted, daily medication may not be warranted.
Lifestyle changes may help minimize the risk of a cluster headache flare. Stopping smoking and minimizing alcohol may prevent future episodes of cluster headache.
Find the secrets to longer life.