Abstract
Systemic antivirals are the mainstay treatment option for herpes zoster, although adequate pain relief should also be provided. For post-herpetic neuralgia (PHN), first-line treatment options include topical lidocaine or capsaicin for mild symptoms and systemic anticonvulsants (gabapentin and pregabalin) for more severe PHN. Other systemic agents, such as tricyclic antidepressants and opioids, can also provide benefit. Preventative measures, particularly vaccination, should be considered.
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