Role of medications in Raynauds Phenomenon
When is pharmacologic intervention indicated in the management of RP?
Most patients with primary RP will not require pharmacologic therapy. Those with secondary RP more often require (but less often respond to) medication. Therapy for secondary RP should address the underlying disorder and vasospasm. Pharmacologic intervention is indicated in patients who suffer from frequent, prolonged, and/or severe episodes of RP in the setting of adequate preventative measures or with minimal provocation. Patients who manifest evidence of ischemic injury (digital pitting, etc.) should also be counseled on medical management. Many patients who require medication may only need it during the colder months of the year. Beta-blockers and smoking should be discontinued. Any evidence of digital infection should be treated with antibiotics. Analgesics may be necessary to reduce pain which can contribute to vasospasm.
