الصداع العنقودي النوبي: ماذا تفعل عندما لا تحقق العلاجات الحادة تخفيف الصداع خلال 30 دقيقة

References

• the majority of patients experience an episodic pattern (80%, ICHD-3 3.1.1), with symptomatic periods (7 days to several months, most commonly 4–12 weeks) and symptom-free periods of variable duration (minimum of 3 months).
• Initial preventive treatment of cluster headache is usually verapamil at a daily dose of at least 240 mg.
• In clinical practice, most clinicians start up with 80 mg 3–4 times per day.
• Corticosteroids can be used for short periods where bouts are short or to help establish another medication.
• Pharmacological nerve block of the GON is recommended and can be repeated if efficacious.
• Based on consensus, ergotamine tartrate or frovatriptan are also recommended for short-term prevention.
• The responder rate defined as 50% reduction in headache frequency was 80%.