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Treatment of Herpes Zoster

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Title: Treatment of Herpes Zoster
Author: Holten, Keith B.; Britigan, Denise H.
Keywords: pain relief
lesion healing
postherpetic neuralgia
Date: 2006-03
Publisher: Family Physicians Inquiries Network
Citation: American Family Physician, 73(5) 2006.
Abstract: Resolution of acute pain related to herpes zoster is accelerated with any of the following: oral acyclovir (Zovirax) 800 mg five times daily for seven days; valacyclovir (Valtrex) 1,000 mg three times daily for seven days; or famciclovir (Famvir) 750 mg once daily, 500 mg twice daily, or 250 mg three times daily for seven days. (Strength of recommendation: A) Oral corticosteroids given during the acute phase of the illness have not been shown to reduce the incidence or severity of postherpetic neuralgia. (Strength of recommendation: B) There is no evidence to support the use of tricyclic antidepressants or anticonvulsants for the management of herpes zoster. (Strength of recommendation: B)

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