Template:Bell's palsy Treatment: Difference between revisions
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===Steroids=== | ===Steroids=== | ||
*Prednisone 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels|Level B Evidence]])<ref name="Gronseth">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. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref> | *[[Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels|Level B Evidence]])<ref name="Gronseth">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. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref> | ||
**Steroids should be started within 72hrs of symptoms<ref>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</ref> | **Steroids should be started within 72hrs of symptoms<ref>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</ref> | ||
Revision as of 05:27, 14 May 2016
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. 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