Question

A 45-year-old man presents with recurrent episodes of severe, unilateral orbital pain lasting 45 minutes, occurring daily for several weeks. Attacks are associated with ipsilateral eye watering and nasal congestion. What is the recommended first-line acute treatment?

Accepted Answer

High-flow oxygen (100%) via non-rebreather mask

Answer

High-dose oral Prednisolone

Answer

Oral Sumatriptan 50mg

Answer

Verapamil 240mg daily

Answer

Ibuprofen 600mg

Practice question

A 45-year-old man presents with recurrent episodes of severe, unilateral orbital pain lasting 45 minutes, occurring daily for several weeks. Attacks are associated with ipsilateral eye watering and nasal congestion. What is the recommended first-line acute treatment?