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. 2023 Dec 8;90(3):101374. doi: 10.1016/j.bjorl.2023.101374

Table 10.

Summary of medical management pregnancy-associated Bell’s palsy.

Therapy When to implement? Regimen
Oral corticosteroids Within 72-hs of symptom onset Prednisone 50 mg daily for 10-days
Prednisone 60 mg daily for 5-days, then tapered over 5-days
Oral antivirals Within 72-hs of symptom onset Valacyclovir 100 mg 8/8 h for 7-days
Protective eye care Throughout symptomatic course Daytime: preservative-free eye drops, to the affected eye, hourly
At night: ointment formulation of artificial tears to the affected eye + eyelid taping with moisture chamber
Surgically placed external eyelid weights should be considered for complete flaccid paralysis without improvement after 8–10 weeks