RT Journal A1 Whitley RJ T1 POstherpetic neuralgia in herpes zoster—reply JF JAMA JO JAMA YR 2009 FD November 4 VO 302 IS 17 SP 1862 OP 1863 DO 10.1001/jama.2009.1581 UL http://dx.doi.org/10.1001/jama.2009.1581 AB I stand by my statement that “[p]revention of PHN is a major concern because antiviral drugs alone do not reliably prevent this complication.” The US Food and Drug Administration (FDA), using the definition of PHN cited by Zhou et al, concluded that although treatment may decrease the median duration of pain (as a continuum), the data from well-controlled clinical trials did not provide evidence of reduction of PHN for any of the licensed drugs: acyclovir,1 valacyclovir,2 or famciclovir.3 The FDA refused to grant this indication based on its analyses and input from advisory committees.