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Subcutaneous or intramuscular dihydroergotamine and intranasal sumatriptan are additional options. Transitional therapy is applicable mainly for patients with high\u2010frequency (&gt;2 attacks per day) episodic cluster headache, and options include short courses of high\u2010dose oral corticosteroids, dihydroergotamine, and occipital nerve blocks with local anesthetic and steroids. Prophylactic therapy is important both for episodic and chronic cluster headache, and the main options are verapamil and lithium. Verapamil is drug of first choice but may cause cardiac arrhythmias, and periodic electrocardiograms (\n                    <jats:styled-content style=\"fixed-case\">EKGs<\/jats:styled-content>\n                    ) during dose escalation are important. Many other drugs are also in current use, but there is an insufficient evidence base to recommend them.\n                  <\/jats:p>","DOI":"10.1111\/head.12145","type":"journal-article","created":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T17:37:32Z","timestamp":1371231452000},"page":"1191-1196","source":"Crossref","is-referenced-by-count":26,"title":["Cluster Headache: Conventional Pharmacological Management"],"prefix":"10.1111","volume":"53","author":[{"given":"Werner J.","family":"Becker","sequence":"first","affiliation":[{"name":"Department of Clinical Neurosciences University of Calgary and Alberta Health Services  Calgary AB 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