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Kindly Inform How To Use 0.2% W/w Silverex On Scars

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Posted on Tue, 18 Aug 2020
Question: Kindly inform how to use 0.2% w/w Silverex on scars caused by herpes/shingles.

What can be done for nerve pain management?

Thanks, P. CHAUDHURI
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Follow up: Dr. R.A. Singh (0 minute later)
Kindly inform how to use 0.2% w/w Silverex on scars caused by herpes/shingles.

What can be done for nerve pain management?

Thanks, P. CHAUDHURI
doctor
Answered by Dr. R.A. Singh (48 minutes later)
Brief Answer:
More information is needed.

Detailed Answer:
Hi,
Thanks for writing your query.
After reading your post, I would suggest that you can apply gel locally twice daily.
It will be helpful if you kindly provide more information about any medications that you are currently taking.
I hope this is helpful to you. If you have any further query, I will be happy to help.
Regards. Thanks.

Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. R.A. Singh (0 minute later)
Brief Answer:
More information is needed.

Detailed Answer:
Hi,
Thanks for writing your query.
After reading your post, I would suggest that you can apply gel locally twice daily.
It will be helpful if you kindly provide more information about any medications that you are currently taking.
I hope this is helpful to you. If you have any further query, I will be happy to help.
Regards. Thanks.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. R.A. Singh (55 minutes later)
As already mentioned, I am taking Pregabalin M 75 tablet and Nurobean Forte now, for last 15 days, and advised to continue for 2 weeks more at present.
The scars are on left ribcage and back, with two small areas of no sensation, one each in front and back.
What is suggested to control nerve pain and bring back sensation in the affected areas?
Thanks.
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Follow up: Dr. R.A. Singh (0 minute later)
As already mentioned, I am taking Pregabalin M 75 tablet and Nurobean Forte now, for last 15 days, and advised to continue for 2 weeks more at present.
The scars are on left ribcage and back, with two small areas of no sensation, one each in front and back.
What is suggested to control nerve pain and bring back sensation in the affected areas?
Thanks.
doctor
Answered by Dr. R.A. Singh (19 hours later)
Brief Answer:
Some more medications are needed.

Detailed Answer:
Hi,
Thanks for your response.
I would advise that you should continue with the medications that you are taking. I would suggest that you can add following medications after discussing with your treating doctor:-
1. Valaciclovir 1000 mg thrice daily for 1 week.
2. Vitamin E 400 mg once a day for two weeks.
3. Gel containing Gabapentin and Lidocaine (like Gabapax gel, etc) one to two times a day.
Herpes pain may persist for few weeks to months even after taking medications.
I hope this is helpful to you. If you any further doubts, please mention.
Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. R.A. Singh (0 minute later)
Brief Answer:
Some more medications are needed.

Detailed Answer:
Hi,
Thanks for your response.
I would advise that you should continue with the medications that you are taking. I would suggest that you can add following medications after discussing with your treating doctor:-
1. Valaciclovir 1000 mg thrice daily for 1 week.
2. Vitamin E 400 mg once a day for two weeks.
3. Gel containing Gabapentin and Lidocaine (like Gabapax gel, etc) one to two times a day.
Herpes pain may persist for few weeks to months even after taking medications.
I hope this is helpful to you. If you any further doubts, please mention.
Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. R.A. Singh (12 hours later)
Resp Dr. XXXXXXX
Regret that I missed to share the complete details of medication taken by me. I take this opportunity to share the same here (start dates):
A. 1. XXXXXXX 11, 2020: (I) Valcivir 500 mg TD x 6 days, (ii) Zerodol-P BD x 3 days, (iii) Pantop 40 mg BD x 3 days, (iv) Acivir (Aciclovir) cream.
2. XXXXXXX 14: Tab Ziffi 200 mg BD x 5 days.
3. XXXXXXX 18: Tab Nurobean Forte OD x 30 days.
4. July 3: Pregabalin M 75: 1/2 tab OD x 14 days.
5. July 17: (I) Nurobean Forte OD x 30 days, (ii) Pregabalin M 75 OD x 30 days, continuing.
B. My pain in ribcage and back fluctuates. However, I have noted your comments regarding the same.
C. There are two areas (one each in front and back) having no sensitivity.
D. At present (for last 3 weeks or so) another symptom has appeared. I don't feel any pressure for bowl movement (can the herpes virus affect stomach system?). I am taking Softovac powder as advised by my doctor to clear bowl, but pressure for motion is still absent. Can the medication cause any sort of constipation?
E. Kindly offer your recommendation in light of the above and oblige. I have tried to upload 3 photos for your reference.
Thanks,
P. CHAUDHURI
default
Follow up: Dr. R.A. Singh (0 minute later)
Resp Dr. XXXXXXX
Regret that I missed to share the complete details of medication taken by me. I take this opportunity to share the same here (start dates):
A. 1. XXXXXXX 11, 2020: (I) Valcivir 500 mg TD x 6 days, (ii) Zerodol-P BD x 3 days, (iii) Pantop 40 mg BD x 3 days, (iv) Acivir (Aciclovir) cream.
2. XXXXXXX 14: Tab Ziffi 200 mg BD x 5 days.
3. XXXXXXX 18: Tab Nurobean Forte OD x 30 days.
4. July 3: Pregabalin M 75: 1/2 tab OD x 14 days.
5. July 17: (I) Nurobean Forte OD x 30 days, (ii) Pregabalin M 75 OD x 30 days, continuing.
B. My pain in ribcage and back fluctuates. However, I have noted your comments regarding the same.
C. There are two areas (one each in front and back) having no sensitivity.
D. At present (for last 3 weeks or so) another symptom has appeared. I don't feel any pressure for bowl movement (can the herpes virus affect stomach system?). I am taking Softovac powder as advised by my doctor to clear bowl, but pressure for motion is still absent. Can the medication cause any sort of constipation?
E. Kindly offer your recommendation in light of the above and oblige. I have tried to upload 3 photos for your reference.
Thanks,
P. CHAUDHURI
doctor
Answered by Dr. R.A. Singh (1 hour later)
Brief Answer:
Medications can cause constipation.

Detailed Answer:
Hi,
Thanks for providing more information.
I have gone through your reply and the attached pictures.
Your detailed reply has given enough information about the medications that you have undertaken. You can, after discussing with your treating doctor, add Vitamin E 400 mg once a day as advised earlier.
Pregabalin can cause constipation in some. Since it is needed for your neurological pain, you should continue with Softovac powder. If the constipation persists, you can add after discussing with your doctor, Lactulose syrup at bedtime.
I would also suggest that you should get yourself clinically examined and evaluated by a Neurophysian.
I hope this is helpful to you. If you have any further doubts, please mention.
Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. R.A. Singh (0 minute later)
Brief Answer:
Medications can cause constipation.

Detailed Answer:
Hi,
Thanks for providing more information.
I have gone through your reply and the attached pictures.
Your detailed reply has given enough information about the medications that you have undertaken. You can, after discussing with your treating doctor, add Vitamin E 400 mg once a day as advised earlier.
Pregabalin can cause constipation in some. Since it is needed for your neurological pain, you should continue with Softovac powder. If the constipation persists, you can add after discussing with your doctor, Lactulose syrup at bedtime.
I would also suggest that you should get yourself clinically examined and evaluated by a Neurophysian.
I hope this is helpful to you. If you have any further doubts, please mention.
Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. R.A. Singh

Emergency Medicine Specialist

Practicing since :2000

Answered : 2235 Questions

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Kindly Inform How To Use 0.2% W/w Silverex On Scars

Kindly inform how to use 0.2% w/w Silverex on scars caused by herpes/shingles. What can be done for nerve pain management? Thanks, P. CHAUDHURI