Template:Bell's palsy Treatment - Revision history

Danbot: Fix cite error: convert bells guidelines named ref to unnamed to prevent conflict with main page definition

2026-03-21T01:10:39Z

Fix cite error: convert bells guidelines named ref to unnamed to prevent conflict with main page definition

← Revisión anterior		Revisión del 01:10 21 mar 2026
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	===Eye Protection===		===Eye Protection===
	*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref ~~name="bells guidelines"~~>Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013;149(3 Suppl):S1-S27. ~~doi:10.1177/0194599813505967~~</ref>		*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref>Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013;149(3 Suppl):S1-S27.</ref>
	**Artificial tears qhr while patient is awake		**Artificial tears qhr while patient is awake
	**Ophthalmic ointment at night		**Ophthalmic ointment at night

Danbot: Fix cite errors: add content to empty bells guidelines ref, fix Gronseth ref reuse to self-closing tag

2026-03-21T01:00:01Z

Fix cite errors: add content to empty bells guidelines ref, fix Gronseth ref reuse to self-closing tag

← Revisión anterior		Revisión del 01:00 21 mar 2026
Línea 1:		Línea 1:
	===Eye Protection===		===Eye Protection===
	*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>		*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines">Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg. 2013;149(3 Suppl):S1-S27. doi:10.1177/0194599813505967</ref>
	**Artificial tears qhr while patient is awake		**Artificial tears qhr while patient is awake
	**Ophthalmic ointment at night		**Ophthalmic ointment at night
Línea 11:		Línea 11:

	===Antivirals===		===Antivirals===
	''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></~~ref~~>		''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"/>
	*{{AntibioticDose\|disease=Bell's palsy\|drug=Valacyclovir\|dose=1000mg TID x1 week\|context=Antiviral}} '''OR'''		*{{AntibioticDose\|disease=Bell's palsy\|drug=Valacyclovir\|dose=1000mg TID x1 week\|context=Antiviral}} '''OR'''
	*{{AntibioticDose\|disease=Bell's palsy\|drug=Acyclovir\|dose=400mg 5x per day x1 week\|context=Antiviral}}		*{{AntibioticDose\|disease=Bell's palsy\|drug=Acyclovir\|dose=400mg 5x per day x1 week\|context=Antiviral}}

Danbot: Strip translate tags to enable SMW subobject creation

2026-03-20T02:53:44Z

Strip translate tags to enable SMW subobject creation

← Revisión anterior		Revisión del 02:53 20 mar 2026
Línea 1:		Línea 1:
	~~<noinclude><languages/></noinclude>~~
	~~<translate>~~
	===Eye Protection===		===Eye Protection===
	~~<!--T:1-->~~		*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>

	~~<!--T:2-->~~
	*Cornea eye protection ([[~~Special:MyLanguage/~~EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>
	**Artificial tears qhr while patient is awake		**Artificial tears qhr while patient is awake
	**Ophthalmic ointment at night		**Ophthalmic ointment at night
Línea 12:		Línea 7:

	===Steroids===		===Steroids===
	~~<!--T:3-->~~

	~~<!--T:4-->~~
	''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell's palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>		''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell's palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>
	*{{AntibioticDose\|disease=Bell's palsy\|drug=Prednisone\|dose=60-80mg qday x1wk\|context=Steroids}}<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[~~Special:MyLanguage/~~EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>		*{{AntibioticDose\|disease=Bell's palsy\|drug=Prednisone\|dose=60-80mg qday x1wk\|context=Steroids}}<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>

	===Antivirals===		===Antivirals===
	~~<!--T:5-->~~

	~~<!--T:6-->~~
	''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>		''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>
	*{{AntibioticDose\|disease=Bell's palsy\|drug=Valacyclovir\|dose=1000mg TID x1 week\|context=Antiviral}} '''OR'''		*{{AntibioticDose\|disease=Bell's palsy\|drug=Valacyclovir\|dose=1000mg TID x1 week\|context=Antiviral}} '''OR'''
Línea 27:		Línea 16:

	===Antibiotics===		===Antibiotics===
	~~<!--T:7-->~~		*Consider empiric {{AntibioticDose\|disease=Bell's palsy\|drug=Doxycycline\|dose=empiric dosing\|context=Lyme Suspicion\|link=no}} if high index of suspicion for [[Lyme\|Lyme]] based on clinical presentation or lab data

	~~<!--T:8-->~~
	*Consider empiric {{AntibioticDose\|disease=Bell's palsy\|drug=Doxycycline\|dose=empiric dosing\|context=Lyme Suspicion\|link=no}} if high index of suspicion for [[~~Special:MyLanguage/~~Lyme\|Lyme]] based on clinical presentation or lab data
	~~</translate>~~

Danbot: Convert to AntibioticDose with disease=Bell's palsy

2026-03-20T00:56:50Z

Convert to AntibioticDose with disease=Bell's palsy

← Revisión anterior		Revisión del 00:56 20 mar 2026
Línea 1:		Línea 1:
	<noinclude><languages/></noinclude>		<noinclude><languages/></noinclude>
	<translate>		<translate>
			===Eye Protection===
	===Eye Protection=== <!--T:1-->		<!--T:1-->

	<!--T:2-->		<!--T:2-->
Línea 11:		Línea 11:
	**Protective glasses or goggles		**Protective glasses or goggles

			===Steroids===
	===Steroids=== <!--T:3-->		<!--T:3-->

	<!--T:4-->		<!--T:4-->
	''Should be started within 72hrs of symptom onset''<ref>Vargish L. For ~~Bell’s~~ palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>		''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell's palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>
	*~~[[Special:MyLanguage/~~Prednisone\|~~Prednisone]]~~ 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[Special:MyLanguage/EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>		*{{AntibioticDose\|disease=Bell's palsy\|drug=Prednisone\|dose=60-80mg qday x1wk\|context=Steroids}}<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[Special:MyLanguage/EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>


	===Antivirals=== <!--T:5-->		===Antivirals===
			<!--T:5-->

	<!--T:6-->		<!--T:6-->
	''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>		''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>
	*~~[[Special:MyLanguage/~~Valacyclovir\|~~Valacyclovir]]~~ 1000mg TID x1 week~~<ref name~~=~~"UpToDate Bells"></ref>~~ '''OR'''		*{{AntibioticDose\|disease=Bell's palsy\|drug=Valacyclovir\|dose=1000mg TID x1 week\|context=Antiviral}} '''OR'''
	*~~[[Special:MyLanguage/~~Acyclovir\|~~Acyclovir]]~~ 400mg 5x per day x1 week		*{{AntibioticDose\|disease=Bell's palsy\|drug=Acyclovir\|dose=400mg 5x per day x1 week\|context=Antiviral}}


	===Antibiotics=== <!--T:7-->		===Antibiotics===
			<!--T:7-->

	<!--T:8-->		<!--T:8-->
	*Consider empiric ~~[[Special:MyLanguage/doxycycline~~\|~~doxycycline]]~~ if high index of suspicion for [[Special:MyLanguage/Lyme\|Lyme]] based on clinical presentation or lab data		*Consider empiric {{AntibioticDose\|disease=Bell's palsy\|drug=Doxycycline\|dose=empiric dosing\|context=Lyme Suspicion\|link=no}} if high index of suspicion for [[Special:MyLanguage/Lyme\|Lyme]] based on clinical presentation or lab data
	</translate>		</translate>

Ostermayer: Marked this version for translation

2026-01-26T03:33:11Z

Marked this version for translation

← Revisión anterior		Revisión del 03:33 26 ene 2026
Línea 2:		Línea 2:
	<translate>		<translate>

	===Eye Protection===		===Eye Protection=== <!--T:1-->

			<!--T:2-->
	*Cornea eye protection ([[Special:MyLanguage/EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>		*Cornea eye protection ([[Special:MyLanguage/EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>
	**Artificial tears qhr while patient is awake		**Artificial tears qhr while patient is awake
Línea 11:		Línea 12:


	===Steroids===		===Steroids=== <!--T:3-->

			<!--T:4-->
	''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>		''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>
	*[[Special:MyLanguage/Prednisone\|Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[Special:MyLanguage/EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>		*[[Special:MyLanguage/Prednisone\|Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[Special:MyLanguage/EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>


	===Antivirals===		===Antivirals=== <!--T:5-->

			<!--T:6-->
	''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>		''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>
	*[[Special:MyLanguage/Valacyclovir\|Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''		*[[Special:MyLanguage/Valacyclovir\|Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''
Línea 24:		Línea 27:


	===Antibiotics===		===Antibiotics=== <!--T:7-->

			<!--T:8-->
	*Consider empiric [[Special:MyLanguage/doxycycline\|doxycycline]] if high index of suspicion for [[Special:MyLanguage/Lyme\|Lyme]] based on clinical presentation or lab data		*Consider empiric [[Special:MyLanguage/doxycycline\|doxycycline]] if high index of suspicion for [[Special:MyLanguage/Lyme\|Lyme]] based on clinical presentation or lab data
	</translate>		</translate>

Ostermayer at 03:32, 26 January 2026

2026-01-26T03:32:59Z

← Revisión anterior		Revisión del 03:32 26 ene 2026
Línea 1:		Línea 1:
	<languages/>		<noinclude><languages/></noinclude>
	<translate>		<translate>

Ostermayer: Prepared the page for translation

2026-01-26T03:32:21Z

Prepared the page for translation

← Revisión anterior		Revisión del 03:32 26 ene 2026
Línea 1:		Línea 1:
			<languages/>
			<translate>

	===Eye Protection===		===Eye Protection===
	*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>
			*Cornea eye protection ([[Special:MyLanguage/EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>
	**Artificial tears qhr while patient is awake		**Artificial tears qhr while patient is awake
	**Ophthalmic ointment at night		**Ophthalmic ointment at night
	**Eye should be taped shut at night		**Eye should be taped shut at night
	**Protective glasses or goggles		**Protective glasses or goggles


	===Steroids===		===Steroids===

	''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>		''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>
	*[[Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>		*[[Special:MyLanguage/Prednisone\|Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[Special:MyLanguage/EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>


	===Antivirals===		===Antivirals===

	''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>		''Most likely no added benefit when combined with steroids.''<ref>Lockhart et al. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD001869.</ref> However also little harm associated with antivirals especially in patients with normal renal function<ref name="Gronseth"></ref>
	*[[Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''		*[[Special:MyLanguage/Valacyclovir\|Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''
	*[[Acyclovir]] 400mg 5x per day x1 week		*[[Special:MyLanguage/Acyclovir\|Acyclovir]] 400mg 5x per day x1 week


	===Antibiotics===		===Antibiotics===
	*Consider empiric [[doxycycline]] if high index of suspicion for [[Lyme]] based on clinical presentation or lab data
			*Consider empiric [[Special:MyLanguage/doxycycline\|doxycycline]] if high index of suspicion for [[Special:MyLanguage/Lyme\|Lyme]] based on clinical presentation or lab data
			</translate>

ClaireLewis at 23:37, 1 October 2019

2019-10-01T23:37:46Z

← Revisión anterior		Revisión del 23:37 1 oct 2019
Línea 14:		Línea 14:
	*[[Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''		*[[Valacyclovir]] 1000mg TID x1 week<ref name="UpToDate Bells"></ref> '''OR'''
	*[[Acyclovir]] 400mg 5x per day x1 week		*[[Acyclovir]] 400mg 5x per day x1 week

			===Antibiotics===
			*Consider empiric [[doxycycline]] if high index of suspicion for [[Lyme]] based on clinical presentation or lab data

Rossdonaldson1: /* Steroids */

2018-09-22T04:02:31Z

Steroids

← Revisión anterior		Revisión del 04:02 22 sep 2018
Línea 1:		Línea 1:
			===Eye Protection===
			*Cornea eye protection ([[EBQ:Evidence Levels\|Level X]])<ref name="bells guidelines"></ref>
			**Artificial tears qhr while patient is awake
			**Ophthalmic ointment at night
			**Eye should be taped shut at night
			**Protective glasses or goggles

	===Steroids===		===Steroids===
	''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>		''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>

Mholtz at 20:24, 19 August 2017

2017-08-19T20:24:21Z

← Revisión anterior		Revisión del 20:24 19 ago 2017
Línea 1:		Línea 1:
	===Steroids===		===Steroids===
			''Should be started within 72hrs of symptom onset''<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>
	*[[Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>		*[[Prednisone]] 60-80mg qday x1wk<ref name="UpToDate Bells">UpToDate. Bell's Palsy Prognosis and Treatment. March, 2014</ref> ([[EBQ:Evidence Levels\|Level B Evidence]])<ref name="Gronseth">Gronseth GS, Paduga R. Evidence-based guideline update: Steroids and antivirals for Bell palsy: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012[http://www.neurology.org/content/79/22/2209.long Full Text]</ref>
	**Should be started within 72hrs of symptom onset<ref>Vargish L. For Bell’s palsy, start steroids early; no need for an antiviral. J Fam Pract. Jan 2008; 57(1): 22–25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183838/pdf/JFP-57-22.pdf</ref>

	===Antivirals===		===Antivirals===