Herpes zoster infection (shingles) Quiz: Ace Your Exams
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A 67-year-old woman presents to her primary care physician for follow-up of persistent pain following herpes zoster. The patient noticed a painful, erythematous, vesicular rash on her back that began over three months ago. The rash crusted over and improved, but she continues to have persistent, sharp, burning pain over the site of the rash. She has been applying the prescribed topical capsaicin and lidocaine without relief. She completed a full course of acyclovir. She is otherwise healthy and does not take any medications daily. Temperature is 36°C (96.8°F), blood pressure is 130/70 mmHg, pulse is 72/min, respiratory rate is 12/min, and oxygen saturation is 100% on room air. On physical examination, the patient appears uncomfortable. There is evidence of a well-healed rash over the left lower back that is tender to touch. The patient demonstrates hyperesthesia with light touch over this area. Which of the following is the most appropriate medication to prescribe?
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