Bell palsy steroid regimen

The cause of Bell's palsy is uncertain: A viral neuritis caused by such agents as herpes simplex or herpes zoster is a possible mechanism, even in patients who do not have a skin eruption. This possibility has led to the widespread empiric use of such antiviral agents as acyclovir or fam-ciclovir (usually in addition to corticosteroid treatment) in an attempt to improve Bell's palsy recovery rates. The cost of these agents and the residual uncertainty about the efficacy of corticosteroids makes it important that an RCT with enough power to evaluate both cortico-steroid and antiviral therapy in patients with Bell's palsy be done in the near future.

There are no medications specifically approved to treat Bell's palsy. Underlying medical conditions that lead to facial nerve disorder are treated specifically according to the specific condition that is responsible for the damage to the nerve. Steroid medications ( corticosteroids ) are the best treatment for Bell's palsy, and it is recommended that all patients be treated. The usual amount is one milligram per kilogram body weight of prednisone (or steroid alternative) per day for 7 to 14 days. Recently, antiviral medications like acyclovir ( Zovirax ) given in conjunction with steroids have been demonstrated to increase recovery. Doses of the antiviral agent will vary with the drug chosen.

Bell palsy steroid regimen

bell palsy steroid regimen


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