Raynaud phenomenon
- Keep warm + stop nicotine/vasoconstrictors
- DHP calcium-channel blocker first-line
- PDE5 inhibitor for refractory severe disease
- Topical nitrate can help selected digits
- Critical ischemia → urgent specialist therapy
- Evaluate for systemic sclerosis if secondary signs
Use at a glance
- Keep warm + stop nicotine/vasoconstrictors
Treatment options
- DHP calcium-channel blocker first-line
Escalation / refractory disease
- PDE5 inhibitor for refractory severe disease
- Topical nitrate can help selected digits
- Evaluate for systemic sclerosis if secondary signs
Other treatment options
- Critical ischemia → urgent specialist therapy
Self-check
- What is first-line treatment for Raynaud phenomenon?
DHP calcium-channel blocker.
- What is recommended for Critical ischemia in Raynaud phenomenon?
urgent specialist therapy.
Drugs used for this (2)
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