A 55-year-old man presents with recurrent severe headaches. They are strictly unilateral, around the eye, and associated with ipsilateral lacrimation ...

Question

A 55-year-old man presents with recurrent severe headaches. They are strictly unilateral, around the eye, and associated with ipsilateral lacrimation and nasal congestion. Attacks last 30-60 minutes. What is the most effective acute treatment?

Accepted Answer

High-flow oxygen (100% at 12-15 L/min)

Answer

Oral Sumatriptan 100mg

Answer

Oral Prednisolone 60mg

Answer

Intranasal Lidocaine

Answer

Verapamil 80mg TDS

ukmla MCQ (SBA): Cluster Headache

A 55-year-old man presents with recurrent severe headaches. They are strictly unilateral, around the eye, and associated with ipsilateral lacrimation and nasal congestion. Attacks last 30-60 minutes. What is the most effective acute treatment?