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Post-herpetic Neuralgia
Post-herpetic Neuralgia

Post-herpetic Neuralgia

Introduction

A complication of shingles (herpes zoster) whereby nerve fibers and the skin is affected

Signs & symptoms

• Intense pain described as burning, stabbing, or gnawing.

Diagnostic criteria

• Intense pain described as burning, stabbing, or gnawing.

Investigation

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Treatment

  • Non-Pharmacological treatment

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  • Pharmacological

    • Amitriptyline (PO) 25 mg at night, may be increased to 150 mg at night

    OR

    • Gabapentin 300–900 mg once or divided doses a day for two weeks


    Refer if there is no improvement of severe neuralgia.

    Refer immediately in case of herpes zoster ophthalmicus for atropinization

Prevention

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Updated on,

3 Novemba 2020, 12:14:31

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References

    1.STG
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