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Raised i/c pressure in palliative care

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Seek Expert advice.

The main symptoms are nausea, vomiting and headache. Avoid lying the patient flat which exacerbates the pressure.

  • Cyclizine - first line for nausea and vomiting due to raised intracranial pressure: stat dose 50mg oral/s.c. total dose 100-150mg oral/s.c. over 24 hours

  • Dexamethasone may be added to reduce symptoms due to brain oedema - dose 6-16 mg per day

  • for possible alternative treatments, seek advice

Radiotherapy of the head or neck may cause similar symptoms.

Reference:

  1. West Midlands Palliative Care Physicians (2012). Palliative care - guidelines for the use of drugs in symptom control.

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