Table 3

Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Jackson JL et al, 1997, USA5 placebo controlled randomised clinical trials. All trials used acyclovir 800 mg 5 times daily within 72 h of onset Meta-analysisPain at 6 monthsSummary odds ratio 0.54 (0.36, 0.81) in patients treated with acyclovir
Whitley RJ et al, 1998, USA6 randomised controlled double blind studiesMeta-analysisFactors influencing duration of painAge, prodromal pain, acute pain intensityNo separate data for trials 1–3.
Trials 1 to 3 compared oral acyclovir with placebo. Factors not influencing duration of painSex, time from rash onset to initiation of treatment
Wood MJ et al, 1998, UK3 placebo controlled studies or oral acyclovir. All trials used acyclovir 800 mg 5 times daily.Meta-analysisResolution of zoster related pain in:
All patientsHazard ratio 1.79 (1.43, 2.39)
Early (<48 h) v late (48–72 h) treatmentPatients over 50 yHazard ratio 2.13 (1.42, 3.19)