What are the treatment options for postherpetic neuralgia (PHN) of herpes zoster (shingles)?

Updated: Jan 25, 2019
  • Author: Camila K Janniger, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Prompt treatment of acute zoster and its associated pain (eg, with antiviral therapy) can prevent the development of PHN. Once PHN has developed, various treatments are available, including the following:

  • Neuroactive agents (eg, TCAs) [6]

  • Anticonvulsant agents (eg, gabapentin, [7] pregabalin)

  • Narcotic and nonnarcotic analgesics, both systemic (eg, opioids) and topical


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