Management of Raynaud’s Phenomenon
摘要
The overall goal in the management of Raynaud’s is to decrease the intensity and severity of attacks and improve the quality of life. Primary Raynaud’s is generally a benign condition which can be managed with non-pharmacological interventions alone in most cases, whereas pharmacotherapy is generally required in most cases of secondary Raynaud’s. Long-acting calcium channel blockers such as amlodipine or nifedipine are the drugs of choice. Other classes of drugs include phosphodiesterase-5 inhibitors, prostacyclin analogs, topical nitrates, etc. Surgical interventions are generally reserved for severe and unresponsive cases.