Brief Answer:
Treatment of Bells'
Palsy needs modification
Detailed Answer:
Hi Mr. XXXXXXX
Thanks for your query.
Firstly, Bell's Palsy occurs due to local viral infection of the right
nerve representing the right side of face.
She also needs to take an anti-viral drug, such as,
Aciclovir (4 gms/day) for 7-10 days) in addition to
Betnesol.
The dose of Betnesol is grossly inadequate. As a standard practice, we start with
Prednisolone @1mg/kg body weight/day and taper it off over next 10 days or so.
Bells' Palsy is NOT a side effect of the TB drugs. Treatment of TB SHOULD NOT be stopped.
Bell's palsy symptoms get cured within 6-8 weeks in majority of cases. In only a few cases, the deficits take longer to get cured.
Use an eye pad for the right eye to avoid
injury to the eye (as there is inability to close the right eye).
Consult the treating doctor and apprise him of my opinion. I am certain that he will agree with me and prescribe the treatment/doses as advised.
Otherwise, it would be wise to show your daughter to a
Neurologist.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Col (Dr.) Rakesh Karanwal