Management Strategies for Herpes Zoster and Postherpetic Neuralgia

Document Type

Article

Publication Date

3-1-2007

Abstract

Evidence-based strategies for the management of herpes zoster and postherpetic neuralgia (PHN) include the use of antiviral agents in acute zoster and specific analgesics in PHN. Antiviral agents are effective in reducing the severity and duration of acute herpes zoster when given within 72 hours of rash onset, but they do not prevent PHN. Anticonvulsants, tricyclic antidepressants, opioids, and topical treatment modalities such as lidocaine-containing patches and capsaicin cream offer moderate pain relief to some patients with PHN, but they may be associated with adverse events that limit their use. Therefore, prevention of herpes zoster and PHN with prophylactic vaccination using the zoster virus vaccine is an effective strategy to reduce the morbidity of these conditions. Treatment modalities are available, however, that may shorten the duration of acute herpes zoster and alleviate the pain of PHN.

Publication Title

The Journal of the American Osteopathic Association

Volume

107

Issue

3 Suppl 1

First Page

S8

Last Page

S13

PubMed ID

17488885

Comments

This article was published in Journal of the American Osteopathic Association, Volume 107, Issue 3, Supplement 1, March 2007, Pages S8-S13.

The published version is available at http://www.jaoa.org/content/107/suppl_1/S8.long

Copyright © 2007 by the American Osteopathic Association

This document is currently not available here.

COinS