dosn't reocurr. As the years have past on, I have go from 2 outbreaks a year to now about every 3 to 4 months. I have been treated with valtrex, which does help with the lessions scabbing over with in 2 to 3 days. Is it possible that this could be herpes simplex 1 instead? 4 doctors have seen this outbreak and have said that is herpes zoster
. Stress triggers this problem. My problem now is that I have extreme pain, that some dr's think there is nerve damage. Some doctors tell me to use neurotin some have told me not too. In the past neurotin has helped with pain. I have also been prescribed amitriptyline. I was on this drug ( 50mg at bedtime) for about 2 years and it did help for a while with the pain. Then it stopped working for pain mangement, so I stopped taking it. Now I am having extreme ear pain, have ruled ramsay hunt snydrome, and now have restarted with the amitriptyline in 10mg doses gradually working up to a goal of 50mg. I am taking perocet for the pain every 4 hrs. Any help would be great, dont' know what else I can do.