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6th June 2008 at 10:26 BST by Dr.C.A.Jenner MB BS, FRCA. Permalink.
Post herpetic neuralgia successfully treated with medication. A case report.
I reviewed a 62 year old gentleman with post herpetic neuralgia.
On examination he had healed lesions but pain from light touch (allodynia) and exaggerated pain from a painful stimulus (hyperalgesia). He was taking Gabapentin 400 mg t.d.s. but was having increasing adverse effects including nausea and vomiting. I started him on a regime of Pregabalin 150 mg b.d. and Oxycodone 5 mg b.d. as required.
He was reviewed in the Pain Clinic approximately 4 months later and was found to be doing extremely well on this regime. He decided to then go for a series of stellate ganglion nerve blocks to see if he could get any further benefit from this.
He is due for review in the clinic in 2 months time.
‘Post herpetic neuralgia successfully treated with medication. A case report.’ was posted by Dr.C.A.Jenner MB BS, FRCA on 6th June 2008 at 10:26 BST and filed under case studies.
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