A 21-year-old man with no past history presents with acute severe unilateral periorbital pain, ipsilateral lacrimation and nasal congestion, occurring...

Question

A 21-year-old man with no past history presents with acute severe unilateral periorbital pain, ipsilateral lacrimation and nasal congestion, occurring in clusters over several weeks. What is the most appropriate acute treatment?

Accepted Answer

High-flow oxygen via non-rebreather mask and subcutaneous or intranasal triptan

Answer

Simple oral paracetamol only

Answer

Oral sumatriptan alone

Answer

Long-term beta blocker only

Answer

Ergotamine suppositories

au-racp MCQ (SBA): Cluster headache

A 21-year-old man with no past history presents with acute severe unilateral periorbital pain, ipsilateral lacrimation and nasal congestion, occurring in clusters over several weeks. What is the most appropriate acute treatment?