Recommendations for the Management of Postherpetic Neuralgia
ثبت نشده
چکیده
These recommendations from the Multidisciplinary Panel on Neuropathic Pain provide an update of the recommendations first published in 2003. The current recommendations include new data on pharmacological and nonpharmacological strategies for the management of postherpetic neuralgia (PHN). The Recommendations for the Management of Postherpetic Neuralgia are the product of review and appraisal of current evidence in the medical literature. The recommendations serve to assist healthcare professionals in evaluating a patient’s condition and deciding on a suitable treatment modality. They are not intended to replace professional judgment in determining the appropriate management of individual patients. While we have taken due care in preparing the recommendations, we cannot warrant the accuracy of the original publications. In selecting goodquality references, a certain degree of judgment based on our professional knowledge in the subject was needed. Such PAIN MANAGEMENT
منابع مشابه
Acupuncture in post herpetic neuralgia
Post herpetic neuralgia is a chronic neuropathic pain syndrome that it is characterized by pain in the area of the nerve involved distribution after the disappearance of herpes zoster lesions and it may be persistent, refractory and severe. Various treatments including medication, Botox injections, nerve block and physical modalities have been used in the treatment of this syndrome, each has ...
متن کاملOptions for treating postherpetic neuralgia in the medically complicated patient
Patients with postherpetic neuralgia (PHN) are often of advanced age or immunocompromised and likely to have ≥1 comorbid medical condition for which they receive ≥1 medication (polypharmacy). Comorbidities affecting renal or hepatic function can alter pharmacokinetics, thereby impacting the efficacy or tolerability of PHN analgesic therapies. Cardiovascular, cerebrovascular, or psychiatric como...
متن کاملHerpes zoster and postherpetic neuralgia: past, present and future.
OBJECTIVES The history behind the current understanding of the varicella-zoster virus and its relationship to the pain conditions caused by shingles and postherpetic neuralgia are reviewed. The framework for the current conceptualization is Hope-Simpson's latency hypothesis. Data from recent work in virology, neuroanatomy and epidemiology are reviewed, as is work using varicella-zoster virus-in...
متن کاملThe management of postherpetic neuralgia.
Postherpetic neuralgia is defined as pain persisting, or recurring, at the site of shingles at least three months after the onset of the acute rash. Thus defined, at least half of shingles sufferers over the age of 65 years develop postherpetic neuralgia. In addition to increasing age, less important risk factors for postherpetic neuralgia are pain severity of acute shingles and trigeminal dist...
متن کاملPostherpetic neuralgia: epidemiology, pathophysiology, and pain management pharmacology
Herpes zoster, also known as shingles, is a distinctive clinical condition caused by the reactivation of latent varicella zoster (chickenpox) virus following an initial infection. Approximately 1 million cases of herpes zoster occur annually in the US, and one in every three people develops herpes zoster during their lifetime. Postherpetic neuralgia is a neuropathic pain syndrome characterized ...
متن کامل