Table 1

Comparison of triptans in acute cluster headache treatment

TriptanEfficacyCost (as per BNF April 2019)
Subcutaneous sumatriptan 6 mgHeadache relief rates at 15 min: placebo 26% and sumatriptan injection 74%19 Imigran £50.96 for two injections
Generic £39.50 for two injections
Sumatriptan nasal spray 20 mgPain-free rates at 30 min: placebo 18% and sumatriptan nasal spray 47%24 Imigran £14.16 for two or £42.47 for six
Zolmitriptan nasal spray 5 mg and 10 mgHeadache relief rates at 30 min (defined as reduction in pain severity): placebo 21%; zolmitriptan nasal spray 5 mg 40% and zolmitriptan nasal spray 10 mg 62%23 Zomig 5 mg/0.1 mL nasal spray 0.1 mL unit dose- £36.50 for six

10 mg formulation—not available.