Atlas of Geriatric Dermatology by Robert A. Norman & Edward M. Young Jr

Author:Robert A. Norman & Edward M. Young, Jr
Language: eng
Format: epub
Publisher: Springer London, London

2.The use of early systemic corticosteroids to prevent PHN is controversial. In patients over 50 years of age, who have had zoster for less than 6 days, prednisone taper (60 mg, orally for I week, then 40 mg orally for I week. and 20 mg orally for I week), or triamcinolone acetonide 40 mg 1 M, have been used.

Postherpetic neuralgia, once established, is difficult to treat, but the following may be tried. 1.Analgesics, anticonvulsants (carbamazepine), and antidepressants (amitryptyline) have been used, with varying effectiveness. These drugs must be used with great care in elderly patients because of central nervous system side effects.

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