Strategies for the Prevention of Postherpetic Neuralgia - immpact

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1. Topical local anesthetics 2. Subcutaneous local anesthetics and corticosteroids 3. Sympathetic blocks 4. Epidural blocks 5. Other invasive interventions
“As most studies were uncontrolled and often of limited size, we cannot conclude that the interventions resulted in a lower incidence of PHN than could be expected from the natural course of pain in HZ. Moreover, differences in endpoints, PHN definition, and inclusion and exclusion criteria make the results of the studies almost impossible to compare.” —Opstelten, van Wijck, Stolker, 2004
Page 1 and 2: Strategies for the Prevention of Po
Page 3 and 4: Proportion of patients developing P
Page 5 and 6: Greater acute pain is a risk factor
Page 7 and 8: If you come to a fork in the road,
Page 10 and 11: Amitriptyline + acyclovir (n = 9) P
Page 12 and 13: Pain, 2009;142:209-217
Page 14 and 15: Table 2. Corticosteroid and analges
Page 16 and 17: BOTTS (blockers of the transition s
Page 18 and 19: Shingles Trial of Oral Medication t
Page 24 and 25: van Wijck AJM, et al. Lancet, 2006;

Strategies for the Prevention of Postherpetic Neuralgia - immpact

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