hello.
the treatment given to you previously was correct.
however Inderal ( propranolol) is more for migraine preventive than for cluster headache.
i would suggest you to consult a neurologist or you can online chat with me for more details.
do not use verapamil ie
calcium channel blockers on your own. see below in cautions.
Next Steps
for episodic cluster headache.
short term prevention
beside Prednisolone , Verapamil ie one of the
calcium chanel blockers ( generic ) is generally used . dose 40 mg x BD
to start with. To be gradually increased.
Greater occipital nerve injection is non invaisive trt ,is effective for 6 - 8 wks.
For long term prevention.
Tab Verapamil and vagus nerve stimulation ( non invaisive ) are prefered.
Health Tips
Verapamil use has Cardio vascular concerns ,hence
ECG test before use of Verapamil is recommended.
for long term use of verapamil - ecg every 6 mnths is recommended. use it under medical supervision.