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How to prevent/treat postherpetic neuralgia after shingles?

User FrankIJ
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Final answer:

To prevent postherpetic neuralgia (PHN), it is recommended to get the shingles vaccine, especially for older adults. Early treatment with antiviral medications such as acyclovir, famciclovir, and valacyclovir, alongside pain management, can treat PHN effectively.

Step-by-step explanation:

Prevention and Treatment of Postherpetic Neuralgia

Postherpetic neuralgia (PHN) is a complication of shingles, which can cause chronic pain even after the shingles lesions have healed. Fortunately, there are several strategies for both preventing and treating PHN. To prevent PHN, it is essential to get vaccinated with the shingles vaccine, which is highly effective in reducing the incidence of shingles and its complications. The vaccine is generally recommended for older adults, as the risk of shingles and PHN increases with age.

To treat PHN, early intervention with antiviral medications such as acyclovir, famciclovir, and valacyclovir is crucial as they can diminish the severity and duration of shingles symptoms. Timing is essential; starting antiviral therapy within 72 hours of rash onset is the most effective. In addition to antivirals, pain management may include topical agents like n-docosanol and penciclovir creams, and in some cases, stronger painkillers or nerve block injections may be prescribed by a healthcare professional.

It's important for patients to work closely with their healthcare provider to manage symptoms effectively and to discuss the best personalized approach to treatment and prevention of PHN.

User MaxZoom
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