Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Internal Medicine


Answer 3
  1. Duration of postherpetic neuralgia is decreased by prompt antiviral therapy of herpes zoster (TRUE). Antiviral treatment of herpes zoster decreases the duration of postherpetic neuralgia if administered within 72 hours of rash onset. After 72 hours, antiviral use offers little advantage. It is not clear if any particular antiviral drug has an advantage over the other antiviral drugs; however, famciclovir and valacyclovir may be easier to administer because of less frequent dosing requirements. Administration of antiviral drugs within 72 hours also diminishes herpes zoster pain and reduces its duration. Antiviral resistance has been noted in immunosuppressed patients on long-term antiviral suppression, but resistance has not been demonstrated with the usual 7-day course of antiviral treatment for herpes zoster.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj