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維他命 B12每日5000毫克,分開數次服用。



Postherpetic Neuralgia follows a rash called “herpes zoster.” Often called “shingles,” it is caused by the same virus that causes chickenpox. The first time you get chickenpox, the virus remains in your nerve endings even after the chickenpox is gone. This usually causes no problems. If the virus re-activates in one of the nerve endings, however, it causes a rash (small blisters) all along the distribution of that nerve. The rash of herpes zoster is characterized by being painful and being in a line totally on one side of the body. If it extends past the midline of your body, the rash is probably coming from something else. If the pain persists after the rash is gone, continuing for weeks to years (over one year in half of elderly patients), it is called "Postherpetic Neuralgia (PHN)." The pain tends to be burning, electric, or deep and aching. Elderly are most affected by PHN. It can severely disrupt one’s life, but fortunately can now be effectively treated in most cases.


Once a new painful rash (not itchy) that fits the description of shingles, immediate treatment with prescription antivirals for ten days is highly recommended.


Beginning treatment early on in a shingles attack (within 48-72 hours) is critical. The recommended dose is 1,000 mg of valacyclovir(an antiviral agent) three times a day for a week to 10 days for shingles.

Recommended Supplements

Acute shingles can be helped with the following supplements:

Vitamin B12

B12 sublingual tablets (5,000 mcg a day dissolved under the tongue) can be helpful.


Lysine 2,000-2,500 mg/day may help starve the virus.

B complex

Take a good B complex vitamin to help support nerve healing.

Medication reminder

In addition to these supplements, it is most important that you take the prescription antiviral noted above.


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