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I can't really claim PHN, as I am only in my first week of post shingles neuralgia. Hoping someone can tell me if what I' m feeling is typical. My shingles rash was centred behind my ear and on my earlobe, lower cheek/jaw, neck, also spread into my lower skull. I had no itching, some pain and discomfort and started taking valacyclovir at first appearance of rash. Six days ago I went outside (cold air) for first time in 2+ weeks and within the hour, experienced 2 attacks of sudden deep excruciating pain in my cheek. Next day, I touched a scab on my skull and triggered the most sickening deep pain I've ever felt. Later that night I had another attack this time from the area of my ear. that day I started taking Gabapentin 300 mg 3 times/day. Two days later Dr increased to 400 mg. In the last 4 days I've had 4 attacks each day, all from the ear and neck area. All these pain attacks last about one minute of horrible pain. The rest of the day, my ear and cheek/jaw area feel either numb or tingling pain with occasional pain in the ear. My stress is waiting for the next attack to come. Is this how it starts with everyone? How long did these sudden onset excruciating pain attacks continue? Since this is only Day 5 with Gab, I can say I don't see how its helping but probably needs time to kick in? and maybe higher dosages? Weird as it may sound, I have the feeling that the Gab triggers an attack but that's probably my imagination. At this point, I haven't had any relief from extra strength tylenol or advil. If I can't stop the nerve attacks, is there something that will make them less severe? My doctor is not knowledgeable other than basic textbook info, when I asked her about a lidocaine 5% patch, she said lidocaine patches are OTC. She wasn't aware of the patch used for PHN. So she's not going to be a great resource with this. Any ideas, please share
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