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Correspondence
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Volume 343:221-223 July 20, 2000 Number 3
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Herpes Zoster

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 by Gilden, D. H.
To the Editor: Treatment of the pain that is frequently associated with acute herpes zoster and postherpetic neuralgia is a challenging clinical problem. Although in their review of the neurologic complications of the reactivation of varicella–zoster virus, Gilden et al. (March 2 issue)1 correctly note that there is no universally accepted protocol, they suggest using extra-strength acetaminophen and codeine to treat the pain resulting from acute zoster and avoiding the use of stronger narcotics. This approach contradicts scientifically based guidelines provided by the Agency for Health Care Policy and Research and the American Pain Society, which recommend selecting analgesic drugs . . . [Full Text of this Article]

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