When Should I See My Doctor
See your doctor as soon as possible if you are experiencing any symptoms of shingles. Starting treatment with antiviral medicines within 3 days of the rash appearing should reduce the severity of symptoms and the risk of further complications, including post-herpetic neuralgia.
See your doctor straight away if you have symptoms of shingles and are experiencing the following:
- symptoms that affect your eye area
- a temperature of 38°C or higher
You should also see your doctor if you are pregnant, or have a weakened immune system due to medicine that suppresses the immune system, or a condition that weakens your immune system.
Treating Shingles With Over
What is shingles?
Shingles, or herpes zoster, is a viral infection that presents as a blister-filled rash typically appearing on one side of the body . The rash associated with shingles is usually extremely painful. Shingles is caused by the varicella-zoster virus which is also responsible for chickenpox. After an individual has chickenpox, the varicella-zoster virus lies dormant in nerve tissue near the spinal cord and brain. The virus can reactivate at any time, even decades later. If it reactivates, it travels along nerve fibers to the skin. This reactivation of the varicella-zoster virus is referred to as shingles.
Although no cure exists for shingles, a prompt medical diagnosis is imperative in order to receive proper treatment. Medications are available that accelerate the healing process, ease pain and reduce inflammation. Early treatment is crucial to avoid complications associated with shingles, so a health care provider should be consulted as soon as possible if shingles is suspected.
The shingles virus causes inflammation and pain in nerve endings. Certain over-the-counter medications can help ease the pain or reduce the inflammation experienced with shingles:
What Is The Best Way To Treat Pain Associated With Shingles
Dr. Anne Oaklander answers the question: ‘Best Way To Treat Shingles Pain?’
& #151 — Question: What Is The Best Way To Treat Pain Associated With Shingles?
Answer: Shingles is generally a painful condition. It’s a rash that eats through the skin.
For some patients, they’ll be able to manage without pain medications, particularly if they have only a mild rash. But many patients will need medications for pain management. Some people may find over the counter anti-inflammatory and pain relief is adequate, such as acetaminophen, aspirin, or ibuprofen. But substantial numbers of people will need prescribed pain medications by their physician. This should be discussed with your physician because everyone’s situation is difficult.
Some patients, in fact, with severe pain may require admission to the hospital and treatment with intravenous or intraspinous pain medications.
Most people will be able to manage in their homes with prescriptions for medication that may include percocet or vicodin or other similar pain relievers as well as medications aimed at the nerves. These include gabapentin, as well as tricyclic medications such as nortriptyline, desipramine, or amitriptyline.
What Are The Symptoms Of Shingles
The initial symptoms of shingles include:
- a burning, tingling or itching sensation
- a stabbing sensation
- numbness in the affected area of the body
- sensitivity to light
- fever and/or headache
Two to 3 days after these symptoms appear, a painful rash will appear on the sensitive area of skin, usually on one side of the body in the area of one skin nerve .
At first this rash consists of painful red bumps that quickly develop into fluid-filled blisters, which will eventually have a crusty surface. The rash can last for 10 to 15 days.
Can Shingles Be Prevented Or Avoided
The best way to prevent shingles is through vaccination. Vaccinate your children for chickenpox. This vaccine reduces their risk for getting chickenpox. You cant get shingles unless youve had chickenpox first.
When you are older, get the shingles vaccine. It is recommended for adults 50 years of age and older. It can prevent shingles. People who have had shingles should get the vaccine to help stop the disease from reoccurring. Common side effects of the vaccine are headache, plus redness, swelling, itching, and soreness at the injection site.
The shingles vaccine is not recommended for anyone who:
- Has had an allergic reaction to gelatin or the antibiotic neomycin
- Has an allergy to any component of the shingles vaccine
- Has a weakened immune system due to conditions such as leukemia, HIV, or AIDS
- Is receiving treatment for cancer
- Is being treated with drugs that suppress their immune system, including high-dose steroids
- Is pregnant or might become pregnant within 4 weeks of getting the vaccine
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See Your Pharmacist Or Medical Professional
- see your doctor as soon as possible if you think you have shingles
- early treatment with antiviral tablets can reduce symptoms and complications, which is especially important if the rash is on your face, neck or scalp. The complications from shingles here can be more serious, including damage to your sight
- see your doctor again if the pain does not go away after initial treatment, particularly if it is interfering with your sleep or making you feel depressed
- see your doctor if the rash is not healing, especially if there is swelling or pus sometimes the rash can become infected with bacteria
These Home Remedies Should Provide Relief During A Case Of Shingles
Shingles occurs when the chickenpox virus reactivates and causes a painful, itchy rash in one place on the body. It’s most common in adults over 50 years of age. In fact, about half of people over age 80 may experience shingles.
When the virus begins, you may notice pain and itching in the skin before a red rash appears one to two days later, accompanied by small, water-filled blisters. Those blisters soon rupture and scar over, healing and fading over the course of a few weeks. That process can be extremely uncomfortable and painful, making even the littlest actions difficult.
If you think you have shingles, see a healthcare professional immediately, especially if it’s on your face or near your eyes .
In addition to medical treatment, there are also home remedies that can help ease shingles symptoms. Here’s what you need to know about minimizing discomfort and pain with items you probably already have at home.
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What Is The Best Medication For Shingles
Your healthcare provider will determine the best medication for your case of shingles based on your symptoms, medical history, and response to shingles treatment. Heres an overview of the popular shingles medications that your doctor may prescribe.
|Best medication for shingles|
|One 0.65 ml injection in the upper arm||Irritation of the injection site or chickenpox-like rash near the injection site or headache|
Dosage is determined by your healthcare provider based on your medical condition, response to treatment, age, and weight.
Other possible side effects exist. This is not a complete list.
What If You Have Shingles Around Or In Your Eye
Community Eye Health
On the surface, says Dr. Taylor, they mainly show up on the cornea, which is the clear dome of tissue that covers your iris , and the conjunctiva the clear tissue that covers the whites of your eye and the inside of your eyelid.
If shingles is in these places, she says, youll be prescribed eye drops with steroids to calm the lesions, and lubricating tears for comfort.
If you have had shingles in your eye, says Taylor, your eye doctor will monitor you for 3 to 12 months to make sure that your eye is returning to health and that no new developments have occurred. You may also be encouraged to have a yearly eye exam until otherwise instructed by your eye doctor.
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Topicals Are Not A Substitute For Medical Treatment
Topical products can help you manage your symptoms. But they arent a substitute for proper medical treatment.
Its important to visit your doctor if youre dealing with shingles. Your doctor can prescribe antiviral drugs and other medications that can shorten the duration of your infection and help you avoid severe complications.
The following creams may be able to help you manage shingles symptoms.
Treat Your Body And Mind
You can get worn down mentally when youâre in constant pain. Stress can make it seem even worse. Self-care starts with treating your rash, but donât stop there. Your mind and emotional state need to be cared for as well.
5. Stick with good habits: Your bodyâs working hard to fight the varicella-zoster virus that causes shingles. To give it the right support, you can:
- Eat nutritious food and have regular meals. Ask someone to make a run to the grocery store for fresh fruit and such if youâre not up for it.
- Try to get a good nightâs sleep and rest anytime you need to.
- Do gentle exercises, such as walking or stretching. Light activity can help take your mind off the pain. Keep it simple though, and check with your doctor if youâre trying something new.
6. Distract yourself: Sometimes, the best thing you can do is to put your focus elsewhere. Here are a few things to try:
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What Can I Do For The Pain
To help with the pain of shingles, your doctor might have you take an over-the-counter pain medicine. This could include acetaminophen or ibuprofen .
Applying a medicated anti-itch lotion to the blisters might reduce the pain and itching. Placing cool compresses soaked in water mixed with white vinegar on the blisters and sores might also help.
If shingles causes severe pain, your doctor might prescribe a stronger pain medicine.
Home Remedies And Lifestyle
In addition to triggering an uncomfortable rash, shingles can cause symptoms that are similar to those of other viral infections.
While prescription and over-the-counter drugs can help, one of the most important things you can do while dealing with the illness is to take good care of yourself. If you’re caring for someone else who has shingles, “creature comforts” can be enormously soothing.
Verywell / Laura Porter
Integrate these basic tactics into even the busiest daily routine:
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Oatmeal Or Baking Soda Baths
You’ll want to care for your uncomfortable skin safely and effectively while it heals. Soaking in oatmeal or baking soda baths can soothe your skin if you have a shingles rash.
Those home remedies can provide temporary relief for itching and can be soothing, said Dr. Strowd. Look for colloidal oatmeal or baking soda to add to cool bath water. Both of those ingredients can help calm itching and are gentle on the skin.
Grinding oat grain into a fine powder makes up colloidal oatmeal. It softens or soothes the skin because it contains fats, proteins, vitamins, minerals, and other nutrients. You’ll find colloidal oatmeal at many places that sell health and beauty products.
Can I Give Shingles To Others
No one can catch shingles from you. But the virus can be spread to a person who has never had chickenpox. The virus lives in the blisters that shingles causes. It can be spread until the blisters are completely healed. If you have blisters that have not crusted over yet, you should stay away from:
- Anyone who has never had chickenpox
- Babies under 12 months old
- Very sick people
Tell your doctor if you live with children who have not had chickenpox. They may need to be vaccinated.
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Stick To Loose Cotton Clothes
While your skin heals, it can feel extremely uncomfortable and even painful. Loose cotton clothing may help ease that discomfort.
To fight itch, “wear loose-fitting clothes with soft natural fibers such as cotton or linen,” said Dr. Strowd. “These will be more comfortable than tight synthetic fabrics or wool clothing garments.”
In addition, covering with cotton clothing will help you avoid infecting others, who could get chickenpox and later shingles. You are contagious until the shingles rash clears. That’s why dermatologists often recommend that you cover your rash to help prevent spreading the virus.
If Home Remedies Fail There Are Medical Treatments
A healthcare professional may prescribe oral anti-viral medication, which you’ll take for seven to 10 days, said Dr. Strowd. They might also prescribe oral or topical medications to help ease any pain.
While shingles is not super contagious to your average, healthy person, it can pose a risk if you’re pregnant, have never had chickenpox or the vaccine, are an older adult, or have a compromised immune system.
Try to avoid contact with those vulnerable groups until your rash forms a scab, as the virus usually spreads through the blister fluid, and keep it covered with a bandage, said Dr. Strowd.
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Terrasil Shingles Treatment Cream
Terrasil shingles cream may provide relief from itchy and painful shingles rashes.
It contains all-natural ingredients that may appeal to people looking to avoid putting synthetic chemicals on their skin. In addition to cottonseed oil and beeswax, it contains activated minerals.
There are claims the minerals can help clear the skin, but there is no evidence of this. Of nearly 1,700 users on , the product earns a 4.3 out of 5 star rating, with many users indicating that the product works well for them.
What Brings On An Attack Of Shingles
Its difficult to predict when a shingles episode might happen again. However, there are some risk factors you should consider.
- Unhealthy lifestyle
- Acute on chronic stress
The first risk factor is age. If you are above the age of 50, ask your doctor about the shingles vaccine. In addition to being an effective shingles treatment, this vaccine is used to prevent shingles.
The second risk factor of shingles is immunity. If your immune system is weakened by illness or medication, you are at risk for contracting shingles or experiencing another shingles episode. Fortunately, you can naturally strengthen your immune system with the right diet and vitamins.
Citrus fruits, green vegetables, organic meat, eggs, whole grains, and dairy products are all part of a healthy diet. You should avoid sugar, refined carbohydrates, saturated fat, and arginine-rich foods, like nuts and seeds.
Additionally, take a multivitamin that includes vitamin A, B-12, C, and E. The amino acid lysine is also protective against infection. Many people over the age of 60 are deficient in zinc, selenium, and vitamin D. You may need to incorporate these supplements into your daily routine as well. Ask your healthcare provider for recommendations as to which vitamins and supplements you need.
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How Do Dermatologists Treat Shingles
An antiviral medication can:
Reduce the amount of time that you have a shingles rash
Lower your risk of developing long-lasting nerve pain and other health problems
One of three antiviral medications is usually prescribedacyclovir, famciclovir, or valacyclovir.
To treat your symptoms, dermatologists typically recommend the following:
Pain: Medication that you can buy without a prescription can help, such as:
If you have severe pain, your dermatologist may prescribe a medication that reduces inflammation, such as a corticosteroid.
Eutectic Mixture Of Local Anesthetics Cream
EMLA cream is a prescription medication made up of a 1-to-1 ratio of 2.5 percent lidocaine and 2.5 percent prilocaine.
A 2018 case study of one person found that EMLA cream may make an effective alternative to lidocaine cream for treating PHN in people with special situations like kidney failure. However, theres not much available research about its effectiveness. Most existing research is from the 1980s and 90s.
A doctor can give you specific instructions on how to use EMLA cream.
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Questions To Ask Your Doctor
- Ive had chickenpox. Am I at risk of developing shingles?
- What is the best treatment for my shingles?
- The pain from shingles isnt going away. What can I do to make myself more comfortable?
- Im on treatment for shingles. When should I call my doctor if things dont get better?
- I have shingles and my children havent had the chickenpox vaccine. Should I get them vaccinated?
- Is the shingles vaccine right for me?
- Are there any risks associated with the shingles vaccine?
- Will my post-herpetic neuralgia ever go away?
- If Ive never had the chickenpox, should I still get the shingles vaccination?
Other Treatments For Shingles
Medications for pain relief may be required. These may be either over the counter or prescription drugs, depending on the severity of the pain. Nonsteroidal anti-inflammatory medications may help some people, while others may require narcotic pain medications. Nonmedical treatments for shingles and home remedies include the use of cool compresses to relieve pain and anti-itching lotions like calamine lotion. Aluminum acetate solutions can help dry up the blisters. Additionally, different medications have been used to control the pain of postherpetic neuralgia, including tricyclic antidepressantsand antiseizure medications. Topical agents that can help relieve the pain of postherpetic neuralgia include capsaicin cream and lidocaine patches.
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Antiviral Medications For Shingles
Antiviral medications are prescription drugs that can reduce the length and severity of your outbreak if they are given early enough. Examples of these drugs include acyclovir , valacyclovir , and famciclovir . It has been shown that antiviral medications can help prevent the development of postherpetic neuralgia and reduce its duration if it does occur.