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Doctors' Answers to "Frequently Asked Questions" - Raynaud's Phenomenon
Answer: Beta blockers can clearly exacerbate Reynaud's symptoms, the usual treatment would be a calcium channel blocker(Procardia is probably the best) which would also treat your hypertension.
Raynaud's Disease Treatment [posted 8/5/98]
Answer: Raynaud's Phenomenon is due to spasm of the peripheral arteries. This can be either prevented or treated. Prevention is to avoid any of the potential triggering factors. These include vibration, trauma, cold, etc. Treatment is usually with calcium channel blockers. Procardia is usually the drug of choice although Plendil is also used.
Answer: Raynaud's Disease or Raynaud's Phenomenon relates to spasm of the small arteries in the feet and hands under different stimuli. This is usually cold exposure although vibration, repeated trauma(aerobic exercise for example) and other stimuli will produce it. It is a painful throbbing of the hands or feet with either purple or white discoloration following the pain. In severe cases, it can lead to sufficient loss of blood to cause loss of tissue and amputation. However, usually it is a painful nuisance. About 5-10% of women have this problem and 1-2 % of men. It appears to be related to "connective tissue disorders" since it is markedly increased with lupus and other connective tissue disorders. Treatment centers on avoiding the cold(or other stimuli) which causes the problem or use of calcium channel blockers(particularly procardia, plendil etc.) to block the peripheral spasm. Occasionally, an aspirin a day will help.
Answer: I'd like to help, but this is too complicated for simple answers. Have his drug levels been tested lately? Also, Raynaud's rarely affects the lips. Rather, this sounds like cyanosis. I'd ensure his oximetry is OK. Some patients have reactions to the sulfa in septra especially if they are G6PD patients, which would yield a possible answer to the blue lips.
Answer: Raynaud's Phenomenon usually doesn't cause still joints, just loss of blood to the fingers and feet (usually provoked by cold, vibration, exercise, etc.). However, Raynaud's is often seen with other connective tissue diseases which do cause stiff joints. So, her prognosis depends on the other diagnosis. Treatment for Raynauds (usually vasodilators like procardia, etc.) is often helpful.