Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Cluster headaches are bad and its unfortunate that theheadaches are still not controlled with these medicines. The other medicines that he may try are amitriptyline or divalproex sodium. Reagrding tonight , he may take some strong painkillers like naproxen sodium or diclofenac to reduce the pains. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to any further details about the asked query, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.