Herpes Zoster

Question 1

What is post-herpetic neuralgia?

Answer 1

Post-herpetic neuralgia is a persistent burning sensation or pain in the area that has healed, occurring in over 10% of patients. It can last from a few months to many years.

Question 2

What is the recommended analgesia for Herpes Zoster?

Answer 2

NSAIDs, such as indomethacin 25 mg 3 times daily or ibuprofen 400 mg 3 times daily, are recommended for pain relief

Question 3

What topical treatments are recommended during the vesicular stages of Herpes Zoster?

Answer 3

Calamine or phenol-zinc lotion is recommended for the vesicular stages.

Question 4

How should Herpes Zoster be managed in immunocompromised persons?

Answer 4

Administer acyclovir 800 mg 5 times daily for 1 week, starting early in the course of the disease.
Alternatively, use another antiviral like valaciclovir.

Question 5

How is postherpetic neuralgia managed in Herpes Zoster?

Answer 5

Apply 3 to 5% phenol in cream or ointment 2-6 times daily.
Amitriptyline 75 mg nightly.
Carbamazepine 600-800 mg once daily.
Alternatively, use Amitriptyline 75 mg nightly + Thioridazine 25 mg 4 times daily.
Try any of these treatments for at least 4-6 weeks before deciding their effectiveness.