What is the Pavan-Langston proposed protocol for treatment of chronic phase postherpetic neuralgia (PHN)?

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

Pavan-Langston has proposed the following protocol for treatment of PHN [118] :

  • TCAs – Nortriptyline, amitriptyline, or desipramine 25 mg; adjust up to 75 mg at bedtime; continue for several weeks if necessary

  • Topical treatment with either capsaicin ointment (once or 4 times daily) or lidocaine patches

  • Gabapentin (30-600 mg 3 times daily), sustained-release oxycodone (10-20 mg twice daily), or both [119, 120, 121]


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