Has Shingles. Suggested post herpetic neuralgia phase. Has ankles and feet swelling after taking Lyrica and Neurontin. Help?
The pain related to post herpetic neuralgia can be severe, there can be slow resolution of the pain syndrome.
In addition to the use of medication, some medical studies have suggested that the anti oxidant vitamin c is low in persons with this type of pain. In this study which was small with less than 100 persons, restoring vitamin c levels by taking replacement supplements resulted in a decrease in pain.
In terms of medication, he has used medication that is normally recommended for this condition.
Other medication would be nortriptyline or amitriptyline . One study combined nortriptyline with gabapentin and found the combination effectiive, it may possibly mean a reduction in the dose of gabapentin.
In addition anti viral medication can be used to possibly shorten the course of illness. An example is fanciclovir.
After this episode has resolved he may want to consider the vaccine- this has been shown to prevent recurrences by 66%.
I hope this helps, feel free to ask any other questions
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