| Patients with Bell's palsy should be treated within three days of the onset of symptoms with a seven-day course of oral acyclovir (Zovirax) or valacyclovir (Valtrex), plus a tapering course of oral prednisone. | B | 15–17 |
| Patients with complete paralysis who do not improve in two weeks on medication should be referred to an otolaryngologist for evaluation for other causes of facial nerve palsy. | C | 19,20 |
| Patients should be monitored for eye irritation and be prescribed eye lubrication. Patients with corneal abrasions should be referred to an ophthalmologist. | C | 1,23 |