Post herpetic neuralgia after acyclovir treatment

Post Herpetic Neuralgia (PHN) is often diagnosed when pain persists in a dermatomal pattern weeks after the herpes zoster vesicular eruption has healed. There is a definite tendency for PHN to improve with time. There is no way of predicting who will recover. However, some reported that as many as 4...

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Main Authors: Mohamed, Abdul Hadi, Awang, Mohd Shukrimi, Abdullah, Nor Zamzila, Mat Nor, Mohd Basri
Format: Proceeding Paper
Language:English
Published: International Islamic University Malaysia 2016
Subjects:
Online Access:http://irep.iium.edu.my/55190/
http://irep.iium.edu.my/55190/1/Post%20herpetic%20neuralgia%20after%20acyclovir%20treatment%20MRS%202016.pdf
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author Mohamed, Abdul Hadi
Awang, Mohd Shukrimi
Abdullah, Nor Zamzila
Mat Nor, Mohd Basri
author_facet Mohamed, Abdul Hadi
Awang, Mohd Shukrimi
Abdullah, Nor Zamzila
Mat Nor, Mohd Basri
author_sort Mohamed, Abdul Hadi
building IIUM Repository
collection Online Access
description Post Herpetic Neuralgia (PHN) is often diagnosed when pain persists in a dermatomal pattern weeks after the herpes zoster vesicular eruption has healed. There is a definite tendency for PHN to improve with time. There is no way of predicting who will recover. However, some reported that as many as 40% of patients with PHN will continue to have long-term problems because of incomplete or no pain despite the best treatments given. This retrospective series discussed the outcome of treatment of 3 patients with PHN, using acyclovir, Gabapentin and analgesics. Patients were treated by a single pain specialist in a conventional community pain practice. Therapies were given twice-monthly for 1-2 months, then less frequently until pain relief was optimized. Patients received a median of 7 treatments (range 4 - 11). Median baseline allodynia levels were reduced from 9 /10 (range 8 to 10) to 0/10 (range 0 to 6), intermittent shooting pain from 9/10 (range 8 to 10) to 0/10 (range 0 to 6). 1 of 3 patients (30%) was able to be weaned off pain medications. These data showed that there is variation in the response to treatment in patients suffering from PHN. The response ranged from a complete cure to unresponsive at all to the treatment given. There is no way of predicting who will fully recover.
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spelling iium-551902020-07-15T02:49:13Z http://irep.iium.edu.my/55190/ Post herpetic neuralgia after acyclovir treatment Mohamed, Abdul Hadi Awang, Mohd Shukrimi Abdullah, Nor Zamzila Mat Nor, Mohd Basri RM695 Physical medicine. Physical therapy Post Herpetic Neuralgia (PHN) is often diagnosed when pain persists in a dermatomal pattern weeks after the herpes zoster vesicular eruption has healed. There is a definite tendency for PHN to improve with time. There is no way of predicting who will recover. However, some reported that as many as 40% of patients with PHN will continue to have long-term problems because of incomplete or no pain despite the best treatments given. This retrospective series discussed the outcome of treatment of 3 patients with PHN, using acyclovir, Gabapentin and analgesics. Patients were treated by a single pain specialist in a conventional community pain practice. Therapies were given twice-monthly for 1-2 months, then less frequently until pain relief was optimized. Patients received a median of 7 treatments (range 4 - 11). Median baseline allodynia levels were reduced from 9 /10 (range 8 to 10) to 0/10 (range 0 to 6), intermittent shooting pain from 9/10 (range 8 to 10) to 0/10 (range 0 to 6). 1 of 3 patients (30%) was able to be weaned off pain medications. These data showed that there is variation in the response to treatment in patients suffering from PHN. The response ranged from a complete cure to unresponsive at all to the treatment given. There is no way of predicting who will fully recover. International Islamic University Malaysia 2016-08-04 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/55190/1/Post%20herpetic%20neuralgia%20after%20acyclovir%20treatment%20MRS%202016.pdf Mohamed, Abdul Hadi and Awang, Mohd Shukrimi and Abdullah, Nor Zamzila and Mat Nor, Mohd Basri (2016) Post herpetic neuralgia after acyclovir treatment. In: Medical Research Symposium & Pacific Partnership in conjunction with Kuantan Research Day 2016, 3rd-5th August 2016, Kuantan, Pahang. http://iiumedic.net/imjm/v1/download/Volume%2015%20Supplement/MRS2016-ABSTRACT-BOOK-72.pdf
spellingShingle RM695 Physical medicine. Physical therapy
Mohamed, Abdul Hadi
Awang, Mohd Shukrimi
Abdullah, Nor Zamzila
Mat Nor, Mohd Basri
Post herpetic neuralgia after acyclovir treatment
title Post herpetic neuralgia after acyclovir treatment
title_full Post herpetic neuralgia after acyclovir treatment
title_fullStr Post herpetic neuralgia after acyclovir treatment
title_full_unstemmed Post herpetic neuralgia after acyclovir treatment
title_short Post herpetic neuralgia after acyclovir treatment
title_sort post herpetic neuralgia after acyclovir treatment
topic RM695 Physical medicine. Physical therapy
url http://irep.iium.edu.my/55190/
http://irep.iium.edu.my/55190/
http://irep.iium.edu.my/55190/1/Post%20herpetic%20neuralgia%20after%20acyclovir%20treatment%20MRS%202016.pdf