Raised i/c pressure in palliative care

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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.

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

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Raised i/c pressure in palliative care

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