Anyone have Cluster headaches? What helps?

@clusterheadsurvivor
Also a six year veteran of eCH. Sumitriptan injections effective until heart palps started about a year ago. (Also take Emgality but not sure it makes much difference.) Then, went to the nasal application, and seems to - but not always - do the trick (pain gone in about 30 min.) But of course can only be used twice in 24 hours. (ij the last four weeks I have had 27 episodes, and the monthly formulary UHC limits four inhalers per month. Pain, like everyone I guess, is incredibly intense.
Questions: I hear about using O2 with some success. Anybody else found that to be true? Also contolled breathing techniques. Also reading about external devices - some medically approved, some not. Anybody used one of those?
Seems like I have gone to TMI. But any comments would be appreciated.

Hi. I have suffered and I say suffered from cluster headaches since 1976. It has been 50 years this year. They came every 3 years when I was younger and in my teens and started coming every 2 years thereafter. I was not diagnosed with them until I was 27 in 1994. I have to taken everything and then some in forms of medication and the only what I call miracle drug was the imetrex injections. But you can only use them sparingly. And when you get 3 or 4 in a 24 hour period it will help with one but you are screwed for the others. They stopped when I was 47 for 8 years and I thought they were gone for good but they came back in 2024 with a vengeance. And now I am going through another bout 2026. These ones really hurt. I am taking verapamil daily 250 mg and have sumatripan tablets for when I feel a cloud but some are only 15 min and some are 1-2 hours long so I dont even know if the sumatripan is working. For me the bouts usually last 90 days. 90 excruciating days. I am now 59 and am halfway 45 days in. They do not have the injections for me anymore and so I am stuck just having to suffer through them everyday. 50 years of uncertainty is a lot on a person. I can't work during the episodes and the government does not recognize it as a disability. I have 4 daughters and two of them are only 11 and 12 and my wife gets 28 regular migraines a month so we are struggling to make ends meet when I am down. All I can say is I would not wish these on my worst enemy and hope others find the relief they need as these are the worst sort of pain imaginable. I even asked my doctor in the 99s if we could take my right eye out if it would stop the pain but sigh, no.

Have been having serious episodes of cluster headache since 2021.

The attack normally happens in the night a few hours after sleep or in the morning when I wake up. It's associated with a tearing and blocked nose.

The most excruciating pain that makes me act like child, pacing, throwing arms but nothing helps.

Feel like someone is living inside my head making a deep cut on the right side of my head. Moves from the top of the eye and stretches to the head and down to the neck. Had the worst experience of upto 3hours last night.

To be honest I dread going to bed now.

Have used Sumatriptan 50mg for 7days now and it has been helping. Was asked to not use it beyond 5days.

Met a neurologist yesterday and he gave me verapamil 40mg to be used along side prednisolone but the attack was beyond the usual and it extended to 3hours beyond the usual 30 to 1hour.

I am committing to go a journey with the Neurologist but I am also here to understand what this community can help with.

Thank you