The following measures may help you avoid a cluster attack:
* Stick to a regular sleep schedule. Cluster periods often begin when there are changes in your normal sleep schedule. During a cluster period, follow your usual routine.
* Avoid afternoon naps. Once a cluster period has started, taking an afternoon nap brings on a headache for many people.
* Avoid alcohol. Alcohol, including beer and wine, almost always triggers a headache during a cluster period. This can happen quickly, even before you finish the first drink.
* Limit exposure to volatile substances. Prolonged exposure to substances such as solvents, gasoline and oil-based paints may trigger an attack.
* Be cautious in high altitudes. During a cluster period, the reduced oxygen at altitudes over 5,000 feet may trigger a headache. There may be drug interactions between medications for cluster headache and medications for mountain sickness.
* Avoid tobacco products. Nicotine may occasionally trigger a headache during a cluster period. If you’re prone to cluster headache, it’s best to stop smoking and avoid other tobacco products.
* Avoid glare and bright lights. For some people, excessive glare and bright lights can bring on a headache.
Coping skills
Living with cluster headache can be difficult. In addition to the physical symptoms, the chronic pain that often accompanies cluster headache attacks can make you anxious or depressed. Ultimately, it may affect your interaction with friends and family, your productivity at work, and the overall quality of your life.
You may find that talking to a counselor or therapist can help you cope with the effects of cluster headache. Or you may find encouragement and understanding in a headache support group. Although support groups aren’t for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences. If you’re interested, your doctor may be able to recommend a group in your area.
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