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    Bell's Palsy: Diagnosis and Management

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    Bell's Palsy: Diagnosis and Management

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    Bell's Palsy_Medication

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    Bell's Palsy_Medication

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    Bell's Palsy: Diagnosis and Management

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    Bell's Palsy_Medication

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    Bell's Palsy: Diagnosis and Management

    Table 2
    Medications for Treatment of Bell's Palsy

    RENAL HEPATIC ADVERSE


    MEDICATION DOSING COST*
    ADJUSTMENT ADJUSTMENT REACTIONS

    Acyclovir Adults: 400 mg five Creatinine Undefined Gastrointestinal $66 to


    (Zovirax) times daily for clearance: upset, $76
    seven days Less than headache, (generic)
    10 mL per dizziness, $132
    Children older than minute elevated liver (brand)
    two years: 80 mg (0.17 mL enzymes,
    per kg daily divided per second): aplastic anemia
    every six hours for give half (rare)
    five days, with a dose once
    maximal dose of daily
    3,200 mg daily
    10 to 50 mL
    per minute
    (0.17 to
    0.83 mL per
    second):
    give same
    dose every
    12 to 24
    hours

    Valacyclovir Adults and children Creatinine None Gastrointestinal $208


    (Valtrex) older than 12 years: clearance: upset, (brand)
    1 g three times daily Less than headache,
    for seven days 10 mL per dizziness,
    minute: 500 elevated liver
    mg daily
    g da y
    enzymes,
    RENAL 10 to 29 mL HEPATIC ADVERSE
    MEDICATION DOSING aplastic anemia COST*
    ADJUSTMENT
    per minute ADJUSTMENT REACTIONS
    (rare)
    (0.17 to
    0.48 mL per
    second): 1 g
    daily
    30 to 49 mL
    per minute
    (0.50 to
    0.82 mL per
    second): 1 g
    twice daily

    Prednisone Adults: 60 mg daily None Undefined Headache, $3


    or for five days, then nervousness, (generic)
    prednisolone 40 mg daily for five edema, $6
    days elevated blood (brand)
    pressure,
    Children: 2 mg per elevated
    kg daily for seven to glucose
    10 days

    *—Estimated cost to the pharmacist based on average wholesale prices (rounded to the nearest dollar) in Red Book.
    Montvale, N.J.: Medical Economics Data, 2006. Cost to the patient will be higher, depending on prescription filling fee.

    Copyright © 2007 by the American Academy of Family Physicians.


    This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that
    printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied,
    printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in
    writing by the AAFP. Contact [email protected] for copyright questions and/or permission requests.

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