What acute treatment options are recommended for a patient experiencing a cluster headache attack in primary care?

Offer oxygen and/or a subcutaneous or nasal triptan for the acute treatment of cluster headache in primary care ¹.

Use 100% oxygen at a flow rate of at least 12 litres per minute with a non-rebreathing mask and a reservoir bag, and arrange provision of home and ambulatory oxygen ¹.

Ensure the person is offered an adequate supply of triptans calculated according to their history of cluster bouts, based on the manufacturer's maximum daily dose ¹.

Do not offer paracetamol, NSAIDs, opioids, ergots or oral triptans for the acute treatment of cluster headache ¹.