AKT-5246

AKT-5246

A 45-year-old man comes to the clinic complaining of a severe headache on the right side of his head that has been ongoing for the past hour. He also reports excessive watering of his right eye and a blocked nose.

Over the past two weeks, he has experienced five similar episodes, each lasting around two hours. He has been feeling well in between each episode. He is a heavy smoker, consuming 20 cigarettes a day.

During the examination, he appears restless and agitated, making it difficult to perform a neurological assessment. However, you observe that his right pupil is more constricted than the left, and his blood pressure is 145/90 mmHg. He is apyrexial.

Apart from referring him to a neurologist for a confirmed diagnosis, what immediate treatment options are available to alleviate his symptoms?