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Simple brief episodes (possible options):

  • Valsalva manoeuvre

  • rebreathing air in paper bag (as for hyperventilation)

  • breath holding

  • sucking ice/swallowing iced water

  • catheter inserted quickly in and out of nose or nasopharynx

  • pressure on the eyeballs

Persistent (assuming exclusion of organic diseases):

  • chlorpromazine orally or IV or IM or

  • sodium valproate

Consider acupuncture, hypnosis or phrenic nerve block.

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