Bell's palsy steroid dose

Antivirals: Because of the suspected causative viral etiology of HSV-1, antivirals such as acyclovir, valacyclovir, and famciclovir theoretically should be of benefit. 2,13 Antivirals work by inhibiting viral DNA polymerase, ultimately leading to inhibition of viral DNA synthesis. 13 The use of these medications as monotherapy is not recommended, according to the Cochrane Review: “High quality evidence from randomized controlled trials of herpes simplex antivirals for the treatment of Bell’s palsy showed no significant benefit from antivirals compared to placebo.” 8 The Cochrane Review also noted that when antivirals and placebo were compared, participants showed little difference in recovery. A plausible answer for the lack of efficacy is that an immunologic reaction occurs that produces increased local inflammation and exacerbation of symptoms due to the antiviral medication itself, even though the drug is active against the causative virus. This is known as Jarisch-Herxheimer reaction . 8

Bell's palsy steroid dose

bell's palsy steroid dose

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