Drugs that could be used to manage the condition of patient?


Drugs that could be used to manage the condition of a patient diagnosed with shingles about 3 months ago and has received famciclovir tablets 250 mg three times daily for 7 days but is still complaining of pain in the area although he reports that the rash has now cleared include?

1     ampicillin

2    ibuprofen

3    amitriptyline


A    1, 2, 3

B    1, 2 only

C    2, 3 only

D    1 only

E    3 only


  1. C is the answer and the winners are Clement and Nikitin.
    Details Below:
    Drugs which could be recommended for MA include analgesics such as non-
    steroidal anti-inflammatory drugs, for example, ibuprofen. They may provide
    some pain relief. Patient should be advised to take medication with food and
    they should not be used if MA has a history of peptic ulcer disease or asthma
    or if he is on anticoagulant therapy. Tricyclic antidepressants such as amitripty-
    line may be used as an adjunct analgesic drug that is administered at night
    to alleviate pain and also induce sedation. If the patient still complains of pain,
    then anticonvulsants such as carbamazepine and gabapentin may be used.


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