Migraine headaches attack-abortive

Sargent JD, Baumel B, Peters K, Diamond S, Saper JR, Eisner LS, Solbach P. (1988). Aborting a migraine attack naproxen sodium v ergotamine plus caffeine. Headache. 28(4) 263-66. 

As in migraine, therapy for cluster headaches involves both abortive and prophylactic therapy. Abortive therapy is directed at managing the acute attack. Prophylactic therapy is intended to shorten the duration of episodic cluster attacks, in addition to reducing the frequency and severity of attacks in both episodic and chronic cluster headache. Prophylactic therapies are started early in the cluster period and administered daily until the patient is headache-free for at least 2 weeks. The medication is then tapered but may be restarted with the next cluster period. Patients with chronic cluster headache may require prophylactic medications indefinitely. 

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