The management consists in treating the basic cause
that produces the vasospasm in the nipple. Warm
compresses can alleviate the pain. When pain is severe
and does not improve with the afore-mentioned measures
(which is rare), some medications can be used, although
there are no studies that scientifically confirm this
recommendation. Among these medications, there are
nifedipine (5 mg, three times a day for one to two weeks
or 30 mg once a day for the slow-releasing formulation),
vitamin B6 (200 mg/day, once a day, for 4 to 5 days and
later 50mg/day for another 1 to 2 weeks), calcium
supplementation (2,000 mg/day), magnesium
supplementation (1,000 mg/day) and ibuprofen.21,22