Modalities in managing postherpetic neuralgia
The Korean Journal of Pain
;
: 235-243, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-742202
ABSTRACT
Postherpetic neuralgia (PHN) is the most troublesome side effect of Herpes Zoster (HZ), which mainly affects the elderly and immunocompromised populations. Despite the current advancement of treatments, PHN persists in many individuals influencing their daily activities and reducing their quality of life. Anticonvulsants, antidepressants, topical therapies including lidocaine and capsaicin, and opioids, are the most widely used therapies for the treatment of PHN. These medications come with their adverse effects, so they should be used carefully with the elderly or with patients with significant comorbidities. Other measures like botulinum toxin, nerve blocks, spinal cord stimulation, and radiofrequency have also contributed significantly to the management of PHN. However, the efficacy, safety, and tolerability of these invasive methods need to be carefully monitored when administering them. Early diagnosis and early initiation of treatment can reduce the burden associated with PHN. The zoster vaccine has effectively reduced the incidence of HZ and PHN. In this article, we discuss the treatment options available for the management of PHN, mainly focusing on the efficacy and safety of different therapeutic modalities.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Qualidade de Vida
/
Toxinas Botulínicas
/
Capsaicina
/
Comorbidade
/
Incidência
/
Diagnóstico Precoce
/
Neuralgia Pós-Herpética
/
Vacina contra Herpes Zoster
/
Estimulação da Medula Espinal
/
Herpes Zoster
Tipo de estudo:
Estudo diagnóstico
/
Estudo de incidência
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Pain
Ano de publicação:
2018
Tipo de documento:
Artigo
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