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학습 자료 둘러보기 →The highest priority to manage PHN is to prevent its development during the acute shingles phase. Uncontrolled pain leads to central sensitization, making pain chronic.
Administer prescribed analgesics on a regular schedule, not PRN. This maintains a steady therapeutic level, preventing the pain peaks that cause nerve damage. A multimodal approach including scheduled gabapentinoids, tricyclic antidepressants, or opioids is often required.
Do not rely solely on comfort measures like loose clothing or warm compresses. While helpful for allodynia, they do not prevent the neuropathic pain pathway from becoming established. Antivirals are essential but are not a substitute for aggressive pain control.
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