Template:Bell's palsy Treatment: Difference between revisions
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===Antivirals=== | ===Antivirals=== | ||
*Most likely no added benefit when combined with steroids. | *Most likely no added benefit when combined with steroids.<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref> | ||
**[[Valacyclovir]] 1000mg TID x1wk<ref name="UpToDate Bells"></ref> OR | **[[Valacyclovir]] 1000mg TID x1wk<ref name="UpToDate Bells"></ref> OR | ||
**[[Acyclovir]] 400mg 5x per day x 1wk | **[[Acyclovir]] 400mg 5x per day x 1wk | ||
Revision as of 18:47, 19 August 2017
Steroids
- Prednisone 60-80mg qday x1wk[1] (Level B Evidence)[2]
- Steroids should be started within 72hrs of symptoms[3]
Antivirals
- Most likely no added benefit when combined with steroids.[4] However also little harm associated with antivirals especially in patients with normal renal function[2]
- Valacyclovir 1000mg TID x1wk[1] OR
- Acyclovir 400mg 5x per day x 1wk
- ↑ 1.0 1.1 UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014
- ↑ 2.0 2.1 Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012Full Text
- ↑ Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf
- ↑ Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.