Treatment of Herpes Zoster

• Antiviral tx within 72hrs of vesiculation may:

• • accelerate healing
  • ↓ duration of acute pain
  • ↓ incidence of PHN

• Antiviral tx

• • Acyclovir 800mg 5x/day x 7-10 days
  • • IV if ophthalmic, immunocompromised, disseminated
  • Valacyclovir 1000mg tid x 7 days

• Post Herpetic Neuralgia

• • Gabapentin, doxepin, topical capsaicin cream

Notes: