What are the AAFP recommendations for the treatment 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

The 2011 American Academy of Family Physicians (AAFP) guidelines include the following key recommendations [134] :

  • Antiviral therapy should be initiated within 72 hours of the onset of the rash in patients with acute herpes zoster (level A).

  • Based on individual patient characteristics, a TCA, tramadol, long-acting opioid, or anticonvulsant (ie, gabapentin or pregabalin) should be selected to decrease the pain of PHN (level A).

  • Capsaicin cream or a lidocaine patch may decrease pain in patients with PHN (level B).


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