60 Yr old diabetic, hypertensive and asthmatic patient got herpes zoster on the trunk on the left side one month back took treatment for the same and is now complaining of severe pain most of the time in the area of the lesion... Wat can be proscribed for the pain relief
HERPETIC NEURALGIA IS A VERY PAIFUL CO TOPICAL APPLICATION OF ACYCOVIR SKIN OINTMENTS ON THE SKIN LESIONS INJECTABLE PARAACETAMOLNDITION REMAINS FOR A LON TIME SUCH PATIENTS SHOILD RECEIVE FULL REATMENT OF ORAL FAMCYCLOVIR INJETABLE NEUROBION GINEN ON ALTERNATE DAYS HELPS THEM
Case of Post Herpatic Neuralgia.Most effective I have experienced to start c Carbamazapine,Benfomet
Cap Pregabilin + Methylcobalamin or Amitryptiline Also voveran gel can be advised to apply locally
It's a PHN(post herpetic neuralgia involeving nerve roots.Treatment-1.local application of patches of lidocaine or capsiacin.2.orally pregabalin or gamapantin.3.parenteral tramadol.4.Antidepresdant combination of escitalopram and dapoxetine.5.convince the patient he will be alright after about two months.
Ampitrityline.
Post herpetic neuralgia Carbamazine, Pregabalin with methylcobalamine.
Pregabalin + methylcobalmin is very effective in post herpetic neuralgia and also in diabetic neuropathy.
Post herpetic Neuralgia Neurotrophic vitamins Pregabalin Amitriptyline
For Orally - pregabalin + methycobalamine Or gabapentin - 100 to 300mg tds as to severity Cap. Palcinuron (aayurvedic cap - 2cap bd For local application - aayurvedic Ointment SHATAVARI Ghrut
Post herpectic neuralgia pregabalin75 mg bd tryptomer25 mg hs
Cases that would interest you
- Login to View the image
a 60 yr female presented with pain and burning sensation followed by vesiculo papular eruption.pt is known diabetic and hypertension inadequate control what is the diagnosis
Dr. Chapparam Srinivasarao2 Likes37 Answers - Login to View the image
70y old male k/c/o dm hba1c 8 no c/o pain no fever no any complaint adv regular dressing with hydroheal gel tb linezolid 600mg 1 bd what ur opinion?? and line of treatment .. cbc creat normal
Dr. Manohar Kumawat8 Likes29 Answers - Login to View the image
48y F came with opd ,c/o of itching, numbness for 15days, not a k/c/o of DM.what would be the diagnosis and treatment plz???
Dr. Vinoth S1 Like11 Answers - Login to View the image
45 yrs female Type 2 Diabetes Mellitus predesented with painful , burning Erythematous turgíd vescicular with papules on right T 5 T6 and T7 dermatomal distribution crossing midline with Right axillary tender lymphadenitis :MM:normal ,Other Systems :normal .An first episode.@Dr. Kadiravan Sellamuthu
Dr. V.g. Kothandapani0 Like7 Answers - Login to View the image
45yr old lady with this lesion for 12days. what could be?no history of taking any drugs. she is bit diabetic
Dr. Josephine Arokia Martina0 Like5 Answers