Has anyone had any success with sleep aids? Do sleepaids add to secondary headaches like pain medication?  My husband needs some rest we think he may be nearing the end of this episode, but of course the anxiety of the next visit by the beast is causing him to not sleep. The last few nights he has only been experiencing shadow headaches.

Melatonin BUT, from an English study, in a dose of
1/2-3/4mg. Higher and lower doses, for sleep, didn't work as well.

I rarely get real insomnia, but when I do, one 3 mg melatonin will hardly do anything to get me to sleep and more than one seems to trigger my clusters.  Occasionally I will take 15 mg of Temazapam and it works well without triggering my clusters.

I take amitriptyline, 200-300 mg, every night.  I have seen a great deal of bad publicity on a few CH sites, so I didn't think I would ever bring it up.  I have been taking it ever since my first diagnosis of TMJ.  At the time the Dr. thought the TMJ was from grinding my teeth.  I have suffered with CH for 27 years, and the ONLY times I have had middle of the night hits have been when I did not take my amitriptyline.  I think I take such a high dose (and I am a small female), that I sleep through them.  I know. Doesn't sound right.  That's why I never wanted to bring it up.  I wish someone else would try it so I can give myself some credibility!

I use 5mg of Triazolam and it usually works well.

I have never found one thing that works. It has always taken a mixture of stuff... at very high doses, and at the risk of giving potentially fatal advise, I will leave it at that. After 37 years of experimenting, I have tried most everything in numerous combinations, and still don't have a solid answer for sleep.