Treatment of shingles

  (1) Drug therapy (1) Anti-viral drugs Acyclovir, valacyclovir or famciclovir can be used.  (2) Neuralgia drug therapy ①Anti-depressants The main drugs are paroxetine (Celete), fluoxetine (Pepcid), fluvoxamine, sertraline, etc.; ②Anti-convulsant drugs are carbamazepine, sodium valproate, etc.  ③ Narcotic analgesic drugs Morphine as the representative of the analgesic drugs. The available drugs are morphine (mescaline), hydroxymorphinone (oxycontin), oxycodone, fentanyl (Doregis), dihydroetofil, Lucozade, etc.  ④ Non-narcotic analgesics including NSAIDs, tramadol, aconitum alkaloids, capsaicin, etc.  2.Nerve block When severe pain is difficult to be controlled by drugs, direct and effective sensory nerve block therapy should be considered. The choice of block location should depend on the extent of the lesion and the response to treatment. The general principle should be from superficial to deep, from simple to complex, from terminal to nerve trunk and nerve root.  Nerve disruption Radiofrequency temperature-controlled thermocoagulation for nerve disruption is the most direct and effective method of treatment. Nerve destruction treatment also includes medial thalamus stereotactic radiation therapy (gamma knife or X-knife), surgical subdural crestal crestal medullary dorsal root destruction treatment, pituitary destruction, sympathetic trunk ganglion destruction, etc.