I have always found that taking sudafed helps prevent an attack when I feel shdows.  However, my Dr. just told me not to take it with my other meds because of the risk of stroke.  I am on Lithium and Verapamil and Claritin with Cyproheptadine at bedtime and use Imitrex injections to abort.  I think he's concerned about the interaction with Imitrex.

Does anyone know of an effective alternative to Sudafed?  I am wary of nasal sprays because trying to stop using them is difficult.

Erm, I don't know what the decongestant in sudafed is, could you post it please?

Other than nasal sprays, I doubt you're going to find one that WON'T effect your heart. There's one nasal spray people use on here, 4-way, it has to be name brand. They'll prolly post and tell you more.

Thanks for the advice.  O2 helps my CHs but not the congestion that seems to lead to them.  I will try a saline spray.

Just seem to be in a bad cluster the past couple of weeks.  My neuro says he has others complaining, too.  Since it's the first cluster in over a year, I can't complain.