Medications
Medications are generally used only if the offending trigger/stimulus cannot be identified and removed - or when an episode persists even after removal of the suspected cause. Potentially useful agents include:
Immediate/emergent
Procardia - 10 mg. p.o./sublingual
Nitroglycerine - 1/150 sublingual or 1/2 inch Nitropaste topically
Clonidine - 0.1 to 0.2 mg. p.o.
Hydralazine - 10 to 20 mg. IM/IV
Chronic (recurrent episode prevention)
Prazosin ("Minipress") - 0.5 to 1.0 mg. daily
Clonidine ("Catapres") - 0.2 mg. p.o. b.i.d.