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Management

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There is no evidence based treatment for RCVS. Early recognition of the syndrome is important to manage symptoms.

  • remove any precipitating or aggravating factors
    • patients should be advised to rest (some patients need bed rest in hospital for two weeks) and to avoid sexual activity, physical exertion, Valsalva manoeuvres, and other triggers for a few days to a few weeks (depending on the initial severity)
    • vasoactive drugs should be discontinued (avoided even after disease resolves)

  • drug treatment to relieve vasospasm
    • nimodipine, verapamil and magnesium sulphate have been used (1,2)

Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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