16th February 2025

An 85-year-old woman presents to you complaining of chest wall pain. She is seen by the palliative care team

An 85-year-old woman presents to you complaining of chest wall pain. She is seen by the palliative care team for pain and breathlessness due to a background of COPD. On further history taking, it is noted that this is a stinging pain and it started after she had shingles in this area. Lightly touching the area is extremely painful. On examination, she has a few crusted over lesions. What is the most appropriate medication to start her on?

Select the SINGLE most appropriate option from the list below. Select ONE option only.