Tipsforthe non-specialist
Examine patients with troublesome Raynaud's phenomenon carefully, looking for an underlying condition, although 80-90% will have no identifiable cause
Offer conservative management options to everyone , even those awaiting referral or investigations, these include avoidance of stress and cold, smoking cessation,and ensuring that extremities are kept warm
Nifedipine is the only drug licensed for use; oteh effective treatments are used off-label and are best prescribed by a specialist
Refer patients with possible underlying disease, those who present with ulceration or signs of ischaemic digits, and those whose symptoms do not improve on treatment with a calcium channeld blocker to a specialist
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