ألم عصبي حاد في الهربس النطاقي: ماذا تفعل عندما تفشل مضادات الصرع وعلاج سلم منظمة الصحة العالمية في المرحلة الثانية في السيطرة على الألم

References

• DOI: 10.1111/ddg.14013
• In case of protopathic/neuropathic pain, additional treatment with incremental doses of gabapentin or pregabalin (antiepileptic agents) is recommended; if necessary, this may be combined with an antidepressant (for example, amitriptyline).
• If neuropathic pain does not adequately respond to treatment based on the WHO pain relief ladder, it is recommended to modify the treatment regimen after 2–4 weeks.
• In such cases, it may be recommended to add tricyclic antidepressants (for example, amitriptyline); in case of localized pain and after the skin lesions have healed, capsaicin or lidocaine patches may be recommended.
• The treatment goal with respect to herpes zoster-associated pain should be optimal pain relief or at least pain reduction down to a level tolerable for the patient.