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

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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

Thanks Dr Barreto
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Cap Pregabilin + Methylcobalamin or Amitryptiline Also voveran gel can be advised to apply locally

Diclofenac gel is OK than to apply over the lesion area.....
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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.

Thanks Dr Joyce.
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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

I have put pic of the lesion area sir... Is it OK to apply the ointment
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Post herpectic neuralgia pregabalin75 mg bd tryptomer25 mg hs

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