40 out of 93
A girl presented with Bells palsy on the third day. What is the ideal treatment (AIIMS Nov 2011)
|A||Oral steroids and acyclovir|
|B||Oral steroids alone|
|D||Vitamin B and vasodilators|
Ans. B Oral steroids alone
- The only medical treatment for Bell’s palsy that may influence the outcome is administration of corticosteroids,
- but this must be commenced within 5 days of onset. Treatment with prednisone, 60 or 80 mg daily in divided doses
- for 4 or 5 days, followed by tapering of the dose over the next 7–10 days, is a satisfactory regimen.
- It is helpful to protect the eye with lubricating drops (or lubricating ointment at night) and a patch if eye closure is
- not possible.
- Acyclovir does not confer any additional benefit.