Secondary Raynaud's phenomenon is a vasospastic disorder occurring in the context of an underlying condition. Establishing an appropriate first-line pharmacological regimen is a central clinical priority, with dose selection and uptitration guided by patient tolerability.
First-line management involves a specific class of vasodilatory agent. Treatment is initiated at the lowest effective dose and increased gradually — the full agent selection, formulation choice, and dose escalation pathway are detailed in the complete protocol.
Calcium channel blockers are first-line treatment.
A favoured approach is to commence a sustained-release preparation in low dose, then gradually increase the dose as tolerated.
DOI: 10.1177/1759720X17740074
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