• J Pain Palliat Care Pharmacother · Dec 2023

    Mpox Pain Management with Topical Agents: A Case Series.

    • Mariam Shabbir, Maria Lorraine Bugayong, and Michael Anthony DeVita.
    • Department of Medicine, Harlem Hospital Center, Vagelos College of Physicians and Surgeons, New York City, New York, USA.
    • J Pain Palliat Care Pharmacother. 2023 Dec 1; 37 (4): 317320317-320.

    AbstractWith the recent spread in monkeypox cases, continuous efforts are made to manage the disease efficiently. Pain at the site of monkeypox lesions and in areas of skin breakdown can be severe. The origin of pain is likely neuropathic. The Centers for Disease Control and Prevention (CDC) has issued general guidelines to control pain with non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, gabapentin, and topical agents such as corticosteroids and lidocaine. Guidelines circulated by the World Health Organization (WHO) suggest acetaminophen, tramadol, opioids, and/or topical lidocaine for symptomatic pain management. No first line agent with proven beneficial effect has been recommended in these patients. We present two patients' painful experiences with Monkeypox and suggest lessons learned.

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