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Dr. Andrew Rynne

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Suggest Alternative Of Predisone For Treatment Of Bell S Palsy

HI, My sister-in-law has bell s palsy. The only medicine she is taking is predisone. Is there any other medicine she could take for this. Her eye is really droopy and she does us eye drops. Her mouth on one side isn t working good. She has to watch what she eats so she won t choke. Thank you for your help. Elaine H
Tue, 14 Oct 2014
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Internal Medicine Specialist,  's  Response
Hi,

Thank you for your query. I can understand your concerns.
Reactivation of Herpes simplex virus (HSV) type 1 DNA in the geniculate ganglion of facial nerve may be responsible for most cases of Bell's palsy.
I suggest that the combination therapy with prednisone (60–80 mg daily during the first 5 days and then tapered over the next 5 days) plus antiviral agents valacyclovir (1000 mg daily for 5–7 days) may be better than prednisone alone, especially in patients with severe clinical presentations,as with your sister-in-law ..








Regards

Dr. T.K. Biswas M.D.
Mumbai
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Suggest Alternative Of Predisone For Treatment Of Bell S Palsy

Hi, Thank you for your query. I can understand your concerns. Reactivation of Herpes simplex virus (HSV) type 1 DNA in the geniculate ganglion of facial nerve may be responsible for most cases of Bell s palsy. I suggest that the combination therapy with prednisone (60–80 mg daily during the first 5 days and then tapered over the next 5 days) plus antiviral agents valacyclovir (1000 mg daily for 5–7 days) may be better than prednisone alone, especially in patients with severe clinical presentations,as with your sister-in-law .. Regards Dr. T.K. Biswas M.D. Mumbai