Asymptomatic herpes zoster neuralgia can be treated with pain relief by administering nonsteroidal anti-inflammatory drugs, tramadol, opioids, or calcium channel modulators, depending on the level of pain.
Asymptomatic herpes zoster is defined as herpes zoster without a rash, also known as tonic herpes zoster, which is caused by reactivation of the varicella-zoster virus in the body, and is treated with antiviral, analgesic, and nutritive nerves.
For patients with herpes zoster who have significant pain, non-steroidal anti-inflammatory drugs, etc. (e.g., ibuprofen, etc.) may be given for mild to moderate pain; opioids, etc. (e.g., morphine, tramadol, oxycodone, etc.) may be given for moderate to severe pain.
Patients may also use medications for neuropathic pain, such as calcium channel modulators (e.g., gabapentin, pregabalin, etc.). Antidepressants may be given at the discretion of those with more severe emotional reactions.
Patients with herpes zoster should standardize their treatment under the guidance of a physician, and it is recommended that they visit a hospital in a timely manner to avoid delays in diagnosis and treatment.