Postherpetic neuralgia (PHN)
- Gabapentin/pregabalin are common first-line drugs
- TCA or SNRI can be effective alternatives
- Topical lidocaine for localized allodynia
- Capsaicin 8% patch is another local option
- Opioids are generally later-line
- Shingrix prevention is more effective than treating PHN
Use at a glance
- Gabapentin/pregabalin are common first-line drugs
Escalation / refractory disease
- Opioids are generally later-line
Practical pearls
- TCA or SNRI can be effective alternatives
- Capsaicin 8% patch is another local option
- Shingrix prevention is more effective than treating PHN
Other practical pearls
- Topical lidocaine for localized allodynia
Self-check
- What is a key treatment approach for Postherpetic neuralgia (PHN)?
Opioids are generally later-line.
Drugs used for this (2)
All clinical uses · Open the interactive console ↗
