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Precautions

  • Think Raynaud; avoid smoking

  • Protect from trauma and secondary infection

  • Do not rub or massage injured tissues

  • Wear warm gloves and socks: do not apply heat or ice

Physical treatment

  • Elevate affected part

  • Warm gradually to room temperature

Drug treatment

  • Apply glyceryl trinitrate vasodilator spray or ointment or patch (use plastic gloves and wash hands for ointment)

  • Potent topical steroid gel or cream bd

Other treatment

  • Rum at night (oral)—traditional remedy; anecdotal evidence only

  • Calcium-channel blocker, e.g. nifedipine CR 30 mg/d

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