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
Related Articles
- EP ID EP473883
- DOI -
- Views 55
- Downloads 0
Prevalence and severity of Thrombocytopenia in Dengue fever in children
Dengue is a major international health concern that is prevalent in tropical and sub-tropical countries. A hallmark of dengue fever is thrombocytopenia. The objective of the study was to assess the prevalence, severity o...
A Comparison of the Outcomes of Swerving To Avoid Deer and Colliding With Deer in the Izu Peninsula
Abstract: We retrospectively investigated and compared the outcomes of swerving to avoid deer and colliding with deer in the Izu peninsula of Japan. We performed a retrospective medical chart review of all traumatized pa...
Apparent Diagnosis of Periapical Lesions by Particle Swarm Optimization Algorithm
Diagnosis of periapical lesions with no human intervention is discussed in this study. Particle swarm optimization, in principle, is a computing volutionary technique and an optimization population-based method. The purp...
Effect of Allium stracheyi on behavior of zebrafish: a pharmacological approach
Anxiety disorders are prevalent condition that affect emotion and cognitive behaviour and are associated with substantial impairments in both productive and social roles. Pharmacological intervention is the main therapeu...
Occurrence of Vancomycin Resistant Enterococci in Various Clinical Samples
Abstract: Enterococci are an indigenous flora of the intestinal tract, oral cavity and the genitourinary tract of the human beings and animals, are known to be relatively a virulent in healthy individuals but have become...