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Episodic eye pain, lacrimation, nasal stuffiness occuring daily

M:F 5:1 and smokers

''Features''
typical pain 1-2x/day lasting 15 mins to 2 hours
clusters last 4-12/52
intense pain around one eye ('always' same eye)
restless during attack
accompained redness, lacrimation lid swelling
nasal stuffiness
miosis and ptosis in minority

''Mx''
acute - 100% O2, subcut sumatriptan, nasal lidocaine
prophylaxis - verapamil, prednisolone
consider specialist referral