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Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

There is no evidence based treatment for RCVS. Early recognition of the syndrome is important to manage symptoms.

  • remove any precipitating or aggravating factors
    • patients should be advised to rest (some patients need bed rest in hospital for two weeks) and to avoid sexual activity, physical exertion, Valsalva manoeuvres, and other triggers for a few days to a few weeks (depending on the initial severity)
    • vasoactive drugs should be discontinued (avoided even after disease resolves)

  • drug treatment to relieve vasospasm
    • nimodipine, verapamil and magnesium sulphate have been used (1,2)


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