Question

A 32-year-old man presents with recurrent episodes of excruciating unilateral periorbital pain lasting 45 minutes, occurring at night over the last 2 weeks, associated with lacrimation and nasal congestion. What is the most appropriate acute treatment?

Accepted Answer

High-flow 100% oxygen and subcutaneous sumatriptan

Answer

Paracetamol 1 g orally

Answer

Codeine phosphate orally

Answer

Oral propranolol

Answer

Oral sumatriptan only

Practice question

A 32-year-old man presents with recurrent episodes of excruciating unilateral periorbital pain lasting 45 minutes, occurring at night over the last 2 weeks, associated with lacrimation and nasal congestion. What is the most appropriate acute treatment?