Condition: Cluster Headache

<h3><span style=”color: #16487b; font-size: 22px; font-weight: 400;”>Cluster headache is a condition where severe attacks of pain affect one side of the head or face, often around the eye.</span></h3><p>This condition is called cluster headache as patients are affected by attacks of symptoms over a cluster of weeks or months. These symptoms will then often disappear (remissions) before reappearing in similar clusters again. People may experience up to 8 attacks per day.</p><p>In some patients there is no remission period, resulting in chronic cluster headache. Cluster headache affects 1 in 1,000 individuals over their lifetimes.</p>

<p>Cluster Headache <strong>Treatment</strong></p>

<p>Custer headache is treated by a combination of methods involving pain relief for the headache, medication to prevent further headache and avoidance of specific triggers.</p><p>Over-the-counter painkillers (e.g. paracetamol, ibuprofen) are ineffective at treating the acute symptoms associated with cluster headache. Recommended first line treatment is therefore with triptans (e.g. Sumatriptan, Zolmitriptan) and/or oxygen delivered through a face mask.</p><p>A number of medications are used to help prevent recurrence of symptoms including verapamil, lithium, topiramate and gabapentin. Other options include local anaesthetic injections and nerve stimulation therapy.</p><p>Medicinal cannabis can be considered when first line therapies have not achieved adequate relief from symptoms.</p>

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