 Often, empirical treatment is required if the diagnostic suspicion of a porphyria is high since acute attacks can be fatal.A high-carbohydrate diet is typically recommended; in severe attacks, a dextrose 10% infusion is commenced, which may aid in recovery by suppressing heme synthesis, which in turn reduces the rate of porphyrin accumulation.However, this can worsen hyponatraemia and should be done with extreme caution as it can prove fatal.