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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Painful Postherpetic Neuralgia Be Treated?

I am one of the unlucky ones with post shingles neuralgia. The pain makes it impossible to stand or walk, only lying down reduces the pain. I take prednisone and anti virals each time I have an attack. Is there anything like injections, or ablation that can help? The pain cuts through pain meds and lidoderm patches.
Mon, 21 Nov 2016
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General & Family Physician,  's  Response
Post – herpetic neuralgia is a complication of shingles. Vaccine is available for those who are more than 50 years old. Vaccination reduces the frequency of post – herpetic neuralgia.
Advice
1.     You can take Zostavax vaccine as your age is more than 50 years medical supervision
2.     For fresh attack, you can take valaciclovir 500 mg three times daily per oral if blisters are covering large area. No need of oral valaciclovir if blisters are localized to smaller area
3.     You can also apply locally aciclovir 3% ointment five time daily for all types of shingles
For post – herpetic neuralgia
1.     You can take gabapentin 100 mg three times daily for 20 days. It will reduce pain
2.     Amitriptyline 25 mg per oral at bed time daily for 20 days
3.     Do not take mental stress as it aggravates shingles
I hope this information will help you. I will be happy if you ask another question
Thanks

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How Can Painful Postherpetic Neuralgia Be Treated?

Post – herpetic neuralgia is a complication of shingles. Vaccine is available for those who are more than 50 years old. Vaccination reduces the frequency of post – herpetic neuralgia. Advice 1. You can take Zostavax vaccine as your age is more than 50 years medical supervision 2. For fresh attack, you can take valaciclovir 500 mg three times daily per oral if blisters are covering large area. No need of oral valaciclovir if blisters are localized to smaller area 3. You can also apply locally aciclovir 3% ointment five time daily for all types of shingles For post – herpetic neuralgia 1. You can take gabapentin 100 mg three times daily for 20 days. It will reduce pain 2. Amitriptyline 25 mg per oral at bed time daily for 20 days 3. Do not take mental stress as it aggravates shingles I hope this information will help you. I will be happy if you ask another question Thanks