A 64-year-old female asked:
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what other treatments are available or effective for postherpetic neuralgia if lyrica and gabapentin isn't helping? it has been about three months since my mom had shingles outbreak. we have tried lidocaine and different oil/cream remedies. thanks

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Dr. Philip Miller
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Excellent medication: so far; however, post herpetic neuralgia is difficult to treat. Addition of very low dose antidepressants ( amitriptyline (12.5-25 mg) or short 6-12 day course of tapered steroids (dosepack of Medrol). At best, this is a difficult therapeutic issue. Please call your treating physician.
Answered on Jun 20, 2018
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