How to Treat Postherpetic Neuralgia: What Works?

First-Line Treatments

The first line of treatment for PHN includes gabapentinoids like gabapentin and pregabalin. These medications help reduce pain by altering nerve activity and are generally well-tolerated. Tricyclic antidepressants are another option, particularly for patients who can't take gabapentinoids.

Second-Line Options

For those who don't respond to first-line treatments, alternatives like serotonin-norepinephrine reuptake inhibitors (SNRIs) can be considered. These drugs are often used for neuropathic pain and depression, providing dual benefits for some patients.

Topical and Adjunctive Therapies

Topical treatments such as capsaicin cream or lidocaine patches may be effective for localized pain. In cases of severe or persistent pain, adjunctive options like opioids or intrathecal glucocorticoid injections may be necessary, but these are usually reserved for short-term use.

Frequently Asked Questions

Key Takeaways

Effective treatment of PHN often requires a tailored approach, combining different therapies for optimal relief.

Related Articles

• What You Need to Know About Postherpetic Neuralgia
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• Understanding the Symptoms of Postherpetic Neuralgia
• Are You at Risk for Postherpetic Neuralgia?

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