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Cluster headache: an update on diagnosis and management

BMJ Best Practice Podcast

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The Main Pitfalls in Management for Rapamil

The main pitfalls in acute therapy are two liters, nasal cannula isn't going to work. With the tryptan medications like Sumitriptan and ZomaTriptan, using an oral tryptan is simply not going to have a fast enough onset. The average therapeutic dose for cluster is 400 milligrams per day of rapamil. And again, I get an EKG every time I do a dose increase to make sure that hasn't prolonged the PR interval.

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