management
Last reviewed 01/2018
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)
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