How is postherpetic neuralgia (PHN) treated?

Patients with PHN should receive treatment to control serious symptoms and prevent problems. PHN is treated with medications including:

  • Amitriptyline
  • Capsaicin cream and patch
  • Gabapentin
  • Lidoderm cream and patch
  • NSAIDs
  • Opioids
  • Pregabalin
  • Tramadol

In some cases, there is a tendency for PHN to improve over time without treatment, but that improvement usually levels off after 1 year from the start of symptoms.

Last reviewed by a Cleveland Clinic medical professional on 03/14/2016.


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