Treatment: Ciguatera Poisoning - Therapy is supportive and based on symptoms.
- Cool showers, hydroxyzine (25 mg PO q6-8h), or amitriptyline (25 mg PO bid) may ameliorate pruritus and dysesthesias.
- For 6 months after disease onset, the pt should avoid ingestion of fish (fresh or preserved), shellfish, fish oils, fish or shellfish sauces, alcohol, nuts, and nut oils.
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