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Hello.....what he said ^^ ...especially re the verapamil....240 is a pointless dose. Close to the typical starting dosage then you ramp up until efficacy found or side effects preclude.....at times I used over 1000 mg/dy (with minimal side effects)....480 has been reported as the clusterhead "sweetspot...as has been stated multiple times...clusterheads can tolerate much larger doses than are used for blood pressure treatment....I don't know why...and don't care...but a lot of GP's are scared to go there.. ....and I'd get a different specialist....prednisone in ch treatment is ONLY for cycle breaks (1-2 week tapers)....you are wise to fear the long term effects. It doesn't always work either......my neuro was fond of methylprednisolone (I think a more potent version of prednisone)...she would do an IV drip then tablet taper.It worked once to entirely break and stop a cycle....it was like a miracle...and it was only the first time that it worked. After 1 or 2 more complete failures "we" decided...no more.... Best Jon