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Postherpetic neuralgia in an elderly patient
Kimberly A Cappuzzo1, René Roberts Krogsund
1Virginia Commonwealth University School of Pharmacy, Richmond, Virginia 23298-0533, USA. kacappuzzo@vcu.edu
Summary
Clinical pharmacists can optimize postherpetic neuralgia (PHN) treatment by reviewing patient medications and collaborating with physicians. Tailored therapy improves pain control and quality of life for patients with PHN.
Area of Science:
- Pharmacology
- Neurology
- Pain Management
Background:
- Postherpetic neuralgia (PHN) is a common complication of herpes zoster, often leading to chronic pain.
- Effective management of PHN pain is crucial for improving patient quality of life.
Observation:
- A patient with poorly controlled PHN experienced intolerable side effects from existing therapy.
- A clinical pharmacist identified suboptimal medication therapy despite the use of proven PHN treatments.
Findings:
- Pharmacist recommendations led to adjustments in the patient's pain management regimen.
- The revised therapy resulted in improved pain control for the patient.
Implications:
- Individualized medication therapy, involving careful titration and combination of treatments with distinct mechanisms of action, is essential for managing PHN.
- A collaborative approach between pharmacists and physicians can enhance patient outcomes in chronic pain management.
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