Gabapentin is effective in reducing neuropathic pain due to post-herpetic neuralgia when given at least three times per day, due to its short half-life, resulting in demonstrable fluctuations in plasma levels. There is limited evidence that gabapentin and oxycodone may reduce the acute pain of herpes zoster. Gabapentin, tricyclic antidepressants (amitriptyline, nortriptyline), and some opioids Herpes zoster (i.e., shingles) is a painful rash resulting from the reactivation of the varicella-zoster virus in the dorsal root ganglia. Risk factors for developing herpes zoster are increasing Background: Postherpetic neuralgia (PHN) is the most common complication of herpes zoster (HZ). Previous trials have reported that gabapentin can relieve chronic neuropathic pain, but its effect on prevention of PHN is unclear. Patients with herpes zoster who are at least 50 years old and have a pain score of 4 or higher on a visual analogue scale (VAS) will be recruited. The aim is to recruit 134 patients from the practices of general physicians. Participants will be randomized to receive gabapentin to a maximum of 1800 mg/day for 5 weeks or placebo. Background Postherpetic neuralgia (PHN) is the most common complication of herpes zoster (HZ). Previous trials have reported that gabapentin can relieve chronic neuropathic pain, but its effect on prevention of PHN is unclear. Objective To assess the efficacy of a 5-week course of gabapentin on acute herpetic pain and on the prevention of PHN at 12 weeks in patients with acute HZ. Methods This Kuraishi et al 16 reported that gabapentin treatment almost completely inhibited acute herpetic pain and PHN incidence in mice inoculated with herpes simplex virus type 1. Lapolla et al 17 reported that administration of the combination of gabapentin and valacyclovir to patients with acute VZV reactivation reduced the incidence of PHN. Postherpetic neuralgia (PHN) is the most common complication of herpes zoster (HZ). Previous trials have reported that gabapentin can relieve chronic neuropathic pain, but its effect on prevention of PHN is unclear. Our results indicate that the use of low-dose gabapentin in acute herpes zoster seems not effective in the prevention of PHN. Keywords: gabapentin; herpes zoster; postherpetic neuralgia. © 2016 Wiley Periodicals, Inc. Postherpetic neuralgia (PHN) is a sequela of herpes zoster that adversely affects quality of life seriously. This study shows that elderly gabapentin-naive subjects no matter whether receiving 200, 400 or 600 mg/day of gabapentin benefited a moderate pain relief with minimal side effects at the first three days of treatment. Since starting with a minimal dose of 200 mg/day did not offer a better reduction Gabapentin adalah obat untuk meredakan kejang pada penderita epilepsi. Selain untuk meredakan kejang, gabapentin juga digunakan untuk meredakan nyeri saraf yang muncul setelah mengalami herpes dan sindrom kaki gelisah. Gabapentin termasuk ke dalam jenis obat antikonvulsan atau antikejang. Gabapentin (Neurontin) and pregabalin (Lyrica) can be used for treatment of postherpetic neuralgia. Amitriptyline, nortriptyline (Pamelor), and desipramine can be used for pain Keywords: Postherpetic neuralgia, Gabapentin, Herpes zoster, Prevention, Primary health care. Background. Herpes zoster (HZ), often called shingles, is a common disease characterized by a painful, unilateral vesicular eruption that is caused by reactivation of a dormant varicella zoster virus within the dorsal root or cranial nerve ganglia. The Gabapentin appears to be effective and well tolerated for the short-term treatment of PHN. However, future controlled studies are needed to determine whether the effectiveness of gabapentin for PHN is maintained for > 2 months, to establish the optimal dose of gabapentin for PHN, and to compare t Context.— Postherpetic neuralgia (PHN) is a syndrome of often intractable neuropathic pain following herpes zoster (shingles) that eludes effective treatment in many patients.Objective.— To determine the efficacy and safety of the anticonvulsant drug gabapentin in reducing PHN Objective: This study aimed to systematically evaluate the clinical efficacy of gabapentin and pregabalin in the treatment of acute herpes zoster (HZ) neuralgia, including pain control and the occurrence of adverse effects.
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