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>
**Should be started within 72hrs of symptom onset<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>


===Antivirals===
===Antivirals===
*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>
''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 x1 week<ref name="UpToDate Bells"></ref> '''OR'''
**[[Acyclovir]] 400mg 5x per day x 1wk
*[[Acyclovir]] 400mg 5x per day x1 week

Revision as of 20:23, 19 August 2017

Steroids

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]

  1. ↑ 1.0 1.1 UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014
  2. ↑ 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
  3. ↑ 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
  4. ↑ Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.
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