EMLA: An Alternative to Transdermal Lidocaine for the Treatment of Post Herpetic Neuralgia in CRF Patients
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 1
Abstract
The present case report describes use of eutectic mixture of local anaesthetic (EMLA) cream as an effective alternative to lidocaine patches for PHN treatment in patient with concomitant renal failure. In institutional setting, a 50 year old female patient of post herpetic neuralgia in right frontal region with concomitant chronic renal failure was treated by EMLA ointment. The response was evaluated in terms of reduction in scores of Numeric Rating Scale (NRS) up to three months. Patient reported significant pain relief with local application of EMLA after first and second line agents were discontinued on account of chronic renal failure of the patient. Hence, local application of EMLA cream could be a promising alternative for the treatment of neuropathic painful conditions like post herpetic neuralgia in special situations where other agents are contraindicated or not available.
Authors and Affiliations
Navneet Gupta, Anil Agarwal, Sandeep Khuba, Sujeet Gautam, Sanjay Kumar, Nandlal Bhagat
Keywords
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