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The calcium channel blocker verapamil (usually brands Calan or Verelan) is one of the most effective lines of defense against cluster headache. It is usually taken in pill form and can be used for longer periods of time. Talk to your doctor about this possible solution. Verapamil can usually be combined with other medications. Some side effects of this kind of medication include nausea, constipation, low blood pressure, and ankle swelling. If you are having trouble with brief cluster headache periods interspersed with long periods of remission, your doctor may prescribe corticosteroids (like prednisone). These are inflammation-suppressing drugs that can be very effective in minimizing side effects of cluster headache. However, corticosteroids can have serious side effects, so they may not a suitable long-term solution for cluster headache. If interested, discuss these side effects with your doctor. Lithium carbonate is a drug that is typically used to treat bipolar disorder, but has also proven effective at preventing and minimizing cluster headache symptoms when other methods have not worked. Talk to your doctor about whether or not they think lithium carbonate could work for you. Also discuss the possible side effects of taking lithium carbonate with your doctor. Bad sleep patterns can sometimes trigger cluster headaches. For people who have frequent cluster headache problems, taking a small dose of melatonin each day can reduce the frequency and intensity of the symptoms. Take 10 milligrams of melatonin each evening. Make sure that you only take melatonin at night, as it is also a sleep aid. As with any kind of medication or treatment, be sure to discuss it with your doctor before you start taking it. Those who drink a lot of alcohol or smoke a lot of cigarettes are more likely to experience cluster headaches. If you consume either of these frequently, cutting back or stopping completely may prevent you from getting as many cluster headaches. If your cluster headaches tend to happen during a certain time of day, week, or year, consuming alcohol and/or nicotine during this time is much more likely to trigger a headache. . Stress is often a trigger for cluster headaches. If you think your stress level tends to be high much of the time, you may benefit from taking a few minutes to clear your head each day. Try this, and your cluster headaches may occur less often. You can also participate in another activity, such as exercise, that helps you handle stress.

Summary:
Take a calcium channel blocker. Try corticosteroids. Start a lithium carbonate regimen. Take melatonin regularly. Stop consuming alcohol and/or nicotine. Meditate