How to treat herpes zoster and postherpetic neuralgia

Herpes zoster requires treatment to manage acute symptoms and reduce the risk of long term complications. Johnson and colleagues (p 748) discuss the treatment options of herpes zoster infection (shingles) and suggest that most cases can be handled in primary care. They advocate the use of antiviral drugs in the acute stage of shingles to reduce the risk of prolonged pain, particularly for patients aged 50 or more and for immunocompromised patients. In patients with postherpetic neuralgia, treatment includes more than one drug, but they also need advice on psychosocial issues. For example, keeping up with physical and social activities should be encouraged, as well as wearing natural fibre clothing. If effective pain control is not achieved, primary care providers should refer patients to specialist care.

(Credit: CNRI/SPL)

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Relevant Article

Treatment of herpes zoster and postherpetic neuralgia

Robert W Johnson and Robert H Dworkin
BMJ 2003 326: 748-750. [Extract] [Full Text] [PDF]