When you have such a complex yet unclear picure of you CHs, it's best to be working with a headache specialist. So many docs, even neurologists, lack training and experience dealing with Cluster.
The meds you mention are, except for O2, are not stanadard for Cluster. Print the PDF file, below, and use as a discussion tool with any doc you see.
The linkage between head injury and Cluster has ben called into question in recent years so ???? Exercise has been linked, for some people, as a Cluster trigger becasuse of the eleveated body temp. But not a consistent factor.
===
LOCATING HEADACHE SPECIALIST
1. Yellow Pages phone book: look for "Headache Clinics" in the M.D. section and look under "neurologist" where some docs will list speciality areas of practice.
2. Call your hospital/medical center. They often have an office to assist in finding a physician. You may have to ask for the social worker/patient advocate.
3. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

; On-line screen to find a physician.
4. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

Look for "Physician Finder" search box. They will send a list of M.D.s for your state.I suggest using this source for several reasons: first, we have read several messages from people who, even seeing neurologists, are unhappy with the quality of care and ATTITUDES they have encountered; second, the clinical director of the Jefferson (Philadelphia) Headache Clinic said, in late 1999, that upwards of 40%+ of U.S. doctors have poor training in treating headache and/or hold attitudes about headache ("hysterical female disorder") which block them from sympathetic and effective work with the patient; third, it's necessary to find a doctor who has experience, skill, and a set of attitudes which give hope of success. This is the best method I know of to find such a physician.
5. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

NEW certification program for "Headache Medicine" by the United Council for Neurologic Subspecialties, an independent, non-profit, professional medical organization.
Since this is a new program, the initial listing is limited and so it should be checked each time you have an interest in locating a headache doctor.
===========
Another reason to work with a headache specialist is the isue of Cluster-LIKE headaches--attacks which appear to be Clusters but which are mimics of the real thing, masking a striking range of other disorders, some of which are serious.
--
Link to: cluster-LIKE headache:
IN: "Medications, Treatments, Therapies --> "Important Topics" --> "Cluster-LIKE headache"