Barry, too complex an issue to make snap judgments. First, hope you have a doc who is experienced in complex headache issues. Many docs, including neuros, don' know beans.
---------Start by exploring these two sites and the OUCH group (left side of this page).
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Here is a link to read and print and take to your doctor.  It describes preventive, transitional, abortive and surgical treatments for CH. Written by one of the better headache docs in the U.S.  (2002)
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Michigan Headache & Neurological Institute for another list of treatments and other articles:

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Hi Barry,
Welcome. Linda's right, a preventative and an abortive are a must as far as I'm concerned. I use Topomax as a preventative and O2 and Imitrex for abortives.

There are some other weapons against the beast that many of us find useful. Energy drinks with Taurine and caffeine (Redbull, RockStar)can help with shadows and I drink one after a hit of O2 as an abortive. Also, Melatonin at night (9-12 mg) can help prevent night time hits that occur during REM sleep.

These are things I use, but look around and read. There are a lot of knowledgable people here with great advice.

~Kris

Hi Barry,
I have been using Oxygen for over a year and have great success! I really like it compared to having to use drugs.  I use a company  that brings a concentrator to my house and even arranges for an Oxygen concentrator to be delivered to my hotel rooms when I travel.  That has provided much stress relieve.  I feel very lucky that I get so much relief with the Oxygen.  
Jules

Are you saying he has had CH for 5 years?  or that it has been 5 years since since he's had a cycle.?  What meds has your husband been on?  There may indeed be new things he could ask his Dr. about, but us not knowing what he's been on,  makes it hard.

A couple of things he may want to try  are the energy drinks with 1000mg. of Taurine in them as well as Caffeine.  They really work fairly well if he can chug one down at the 1st. hint of an attack.  Melatonin at bedtime helps some with the night-time attacks.

Here is a list of medications:

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Linda


P.S.  Where you are right now (ch.com) is the only support group out there.  I can't find anywhere on your post to indicate exactly where you live, only Clearwater and that could be anywhere which doesn't give us too much help.  All of us in the US have people we know from here,  who sometimes have get-togethers but that's about it.  If you could tell us where you are, maybe someone near you could give you a call or something.  

Sorry I am knew to this.  I am the wife of a ch patient.  He has been in remission for 5 years.  The Dr. he sees is at the Univ of South Fla, and no there are not any new drugs.  He is on 80 (working up to) 480 mg Verapamil, 100% o2 at 12-15 liters, Imitrex shots (which he has had to take 2 the last two days) our ins only allows 12 in 90 days....then it will be off to the ER. He made several trips during his last bout and since not many people (even Dr.) do not know about Clusters they are not very helpful.  I believe last time they tried Morphine, no luck and one time tried dalaudin//no help.  I feel so helpless.... in Clearwater, Fl