Transdermal clonidine has recently been reported to be efficacious in
the prophylaxis of cluster headache. A 2-week course of transdermal cl
onidine (5 mg the first week, 7.5 mg the second week) preceded by a 5-
day run-in period, was administered to 16 patients with episodic clust
er headache in an active cluster period. In 5 patients, the painful at
tacks disappeared after the seventh day of treatment. For the group as
a whole, no significant variations in headache frequency, pain intens
ity, or attack duration ware observed between the run-in period and th
e first and second weeks of treatment (ANOVA). Further studies are nec
essary to clarify the effectiveness of transdermal clonidine in the pr
ophylaxis of episodic cluster headache.