Associated measures in hidradenitis suppurativa, Centre of Evidence of Dermatology

Guidelines hidradenitis suppurativa Updated on august 2019

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Associated measures

Back to decision-making tree Print last updated on 21/02/2024

Psychological support

The psychological impact of HS must be evaluated by physicians. If necessary, a psychologist or psychiatrist may be called upon for a specialist opinion.

Pain management

The level of proof in studies regarding pain management is currently insufficient to make recommendations on specific pain-management strategies in HS.

The work group recommends following the WHO guidelines according to whether pain is nociceptive (score of 1 to 3) and/or neuropathic. Considering the risk of infectious complications, the work group cannot recommend the use of anti-inflammatory drugs (NSAIDs, corticosteroids) for pain management.

Scale for pain assessment and treatment

The World Health Organization scale for pain assessment and treatment (VAS)
PAIN	TREATMENT
Mild Pain (VAS 1-3)	Paracetamol: (Dafalgan®, Doliprane®, Efferalgan®)
Moderate Pain (VAS 4-6)	Paracetamol + Codeine Phosphate: (Dafalgan codeine®, Codoliprane®, Efferalgan codeine®), Tramadol Hydrochlorhyde (Topalgic®, Contramal®), Paracetamol + Tramadol Hydrochlorhyde: (Ixprim®)
Severe Pain (VAS 7-10)	Actiskenan®, Skenan® LP, Oxynorm®, Oxycontin® LP, Moscontin®, Kapanol® LP, Durogesic®

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