▁o xygen ▁ther apy ▁also ▁helps ▁with ▁relief . ▁ ▁For ▁people ▁with ▁extended ▁periods ▁of ▁cluster ▁head aches , ▁prevent ive ▁ther apy ▁can ▁be ▁necessary . ▁Ver ap amil ▁is ▁recommended ▁as ▁first ▁line ▁treatment . ▁Lith ium ▁can ▁also ▁be ▁useful . ▁For ▁people ▁with ▁shorter ▁b outs , ▁a ▁short ▁course ▁of ▁pred nis one ▁( 1 0 ▁days ) ▁can ▁be ▁helpful . ▁Er got am ine ▁is ▁useful ▁if ▁given ▁ 1 – 2 ▁hours ▁before ▁an ▁attack . ▁See ▁cluster ▁head aches ▁for ▁more ▁detailed ▁information . ▁ ▁Second ary ▁head aches ▁ ▁Tre at ment ▁of ▁secondary ▁head aches ▁involves ▁tre ating ▁the ▁underlying ▁cause . ▁For ▁example , ▁a ▁person ▁with ▁men ing itis ▁will ▁require ▁ant ib iot ics . ▁A ▁person ▁with ▁a ▁brain ▁tum or ▁may ▁require ▁surg ery , ▁chem other apy ▁or ▁brain ▁radiation . ▁ ▁Ne ur om od ulation ▁ ▁Per i pher al ▁neur om od ulation ▁has ▁tent ative ▁benefits ▁in ▁primary ▁head aches ▁including ▁cluster ▁head aches ▁and ▁chron ic ▁mig raine . ▁How ▁it ▁may ▁work ▁is ▁still ▁being ▁looked ▁into . ▁ ▁Ep ide mi ology ▁ ▁Appro xim ately ▁ 6 4 – 7 7 % ▁of ▁people ▁have ▁a ▁head ache ▁at ▁some ▁point ▁in ▁their ▁lives . ▁During ▁each ▁year , ▁on ▁average , ▁ 4 6 – 5 3 % ▁of ▁people ▁have ▁head aches . ▁Most ▁of ▁these ▁head aches ▁are ▁not ▁dangerous . ▁Only ▁approximately ▁