Treatment of nerve pain after herpes zoster


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The main treatment drugs are tricyclic antidepressants, mainly amitriptyline and doxepin. The method of administration is amitriptyline 25 mg, two to three times a day or once a night. Antiepileptic drugs carbamazepine and phenytoin sodium are also used to treat postherpetic neuralgia. Nonsteroidal anti-inflammatory drugs, aspirin, indomethacin, etc. Opioid representative drug is tramadol, tramadol is a synthetic central analgesic, with opioid analgesic effect, analgesic effect is strong, but may show nausea, vomiting, dizziness, fatigue and other adverse side effects. For refractory patients, along the intercostal nerve distribution of skin lesions can be treated with local block, with lidocaine, vitamin b1, b12, dexamethasone, nerve block in the intercostal nerve distribution area. Topical pain relievers, such as capsaicin ointment or voltaren ointment.