Pathological hiccups: management

Evidence-based neurology checklist on pathological hiccups: management: Drug treatments Baclofen Gabapentin Chlorpromazine Carbamazepine Metoclopramide Haloperidol Amitriptyline Lidocaine Nimodipine Valproate Respiratory manoeuvres Nasopharyngeal stimulation Vagus nerve stimulation Stomach…

Drug treatments

  • Baclofen
  • Gabapentin
  • Chlorpromazine
  • Carbamazepine
  • Metoclopramide
  • Haloperidol
  • Amitriptyline
  • Lidocaine
  • Nimodipine
  • Valproate

Respiratory manoeuvres

Nasopharyngeal stimulation

Vagus nerve stimulation

Stomach evacuation

Phrenic nerve calming techniques

Psychological treatments

Other treatments

References

  1. Eisenacher A, Spiske J. Persistent hiccups (singultus) as the presenting symptom of medullary cavernoma. Dtsch Arztebl Int 2011; 108:822-826.
  2. Launois S, Bizec JL, Whitelaw WA, Cabane J, Derenne JPh. Hiccup in adults: an overview. Eur Respir J 1993; 6:563-575.
  3. Lance J, Bassil GT. Familial intractable hiccup relieved by Baclofen. Lancet 1989; 8657:276-277.

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