Is The Zostavax Vaccine Still Being Used
Yes. It is still recommended for preventing shingles and postherpetic neuralgia in healthy people age 50 and older. Zostavax is given as a single-dose shot versus the two-dose shot for Shingrix. Zostavax is less effective than Shingrix in preventing shingles and postherpetic neuralgia .
Zostavax can be considered if you are allergic to Shingrix or if Shingrix is unavailable due to supply shortage and you want some immediate protection from a possible case of shingles and/or postherpetic neuralgia. Because it is a weakened live vaccine, it may be dangerous if you have cancer, HIV, or take steroids, chemotherapy or other medications that suppress your immune system. Ask your healthcare provider if the Zostavax vaccine is an option for you.
How Is Shingles Diagnosed And Treated
If you think you might have shingles, talk to your doctor as soon as possible. Its important to see your doctor no later than three days after the rash starts. The doctor will confirm whether you have shingles and can make a treatment plan. Most cases can be diagnosed from a visual examination. If you have a condition that weakens the immune system, your doctor may order a shingles test. Although there is no cure for shingles, early treatment with antiviral medications can help the blisters clear up faster and limit severe pain. Shingles can often be treated at home.
When To Seek Medical Advice
Shingles is not usually serious, but you should see your GP as soon as possible if you recognise the symptoms. Early treatment may help reduce the severity of your symptoms and the risk of developing complications.
You should also see your GP if you are pregnant or have a weakened immune system and you think you have been exposed to someone with chickenpox or shingles and haven’t had chickenpox before.
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What Can Be Mistaken For Shingles
Shingles can sometimes be mistaken for another skin conditions, such as hives, psoriasis, or eczema. Share on Pinterest A doctor should always be consulted if shingles is suspected. The characteristics of a rash may help doctors identify the cause. For example, hives are often raised and look like welts.
How Is It Treated
It is best to start treatment as soon as possible after you notice the rash. See your healthcare provider to discuss treatment with antiviral medicine, such as acyclovir. This medicine is most effective if you start taking it within the first 3 days of the rash. Antiviral medicine may speed your recovery and lessen the chance that the pain will last for a long time.
Your provider may also recommend or prescribe:
- medicine for pain
- antibacterial salves or lotions to help prevent bacterial infection of the blisters
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What Are The Treatments For Shingles
There is no cure for shingles. Antiviral medicines may help to make the attack shorter and less severe. They may also help prevent PHN. The medicines are most effective if you can take them within 3 days after the rash appears. So if you think you might have shingles, contact your health care provider as soon as possible.
Pain relievers may also help with the pain. A cool washcloth, calamine lotion, and oatmeal baths may help relieve some of the itching.
Preventing Shingles From Making You Tired
The only way to keep shingles from making you tired is to not get shingles, and the only way to do that is to get vaccinated.
Getting vaccinated for shingles can help you to avoid shingles, PHN, and the fatigue thats associated with these conditions. Vaccination is important, even if youve already had shingles or if you had chickenpox as a child.
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Seek Treatment Right Away
Many people have the mistaken impression that, like poison ivy, shingles is a nuisance rash that fades on its own. But in fact a shingles rash should alert people, especially in middle or old age, to seek immediate medical help, says Dr. Oaklander.
Rapid treatment with one of three antiviral drugs, acyclovir , valacyclovir , or famciclovir , can shorten a shingles attack and reduce the risk of serious damage, such as:
- Long-term pain. Pain that lingers in the area of a healed shingles rash is called postherpetic neuralgia. This often-disabling pain can last several months to a year.
- Prolonged itching. Many people are left with an itchy area from their shingles, which can be as disabling as chronic pain. It is most common on the head or neck.
- Damage to vision and hearing. Pain and rash near an eye can cause permanent eye damage and requires an urgent ophthalmological exam. When the nerve to the ear is affected, it can permanently damage hearing or balance.
- Strokes and heart attacks. A PLOS Medicinestudy that tracked about 67,000 people ages 65 and older who were newly diagnosed with shingles found that stroke risk more than doubled in the first week after the shingles diagnosis. The same study reported an increased risk for heart attacks in the three months after shingles, but the additional risk dissipated after six months.
Symptoms Of Eye Shingles
The symptoms of shingles around the eye may be different from the symptoms of eye involvement. Symptoms of shingles around the eye area may include:
Tingling on the face
Shorten the length of a shingles outbreak
Make shingles less painful
Reduce chances of persistent nerve pain after the rash resolves
In addition to these overall benefits, prompt treatment of eye shingles with antiviral medication can significantly reduce the risk of vision loss.
Without antiviral medication, 50% of ocular shingles patients will develop eye disorders compared with only 25% of patients who take the medication.
Its crucial to begin taking antiviral medication within 72 hours of the outbreak of the skin rash. It should be started as soon as possible after the rash starts, Rapuano says.
If your doctor diagnoses eye involvement with your case of ocular or facial shingles, you may also need topical eye drops. There are two main types of eye drops for shingles:
Corticosteroid eye drops Steroid drops can reduce the eye inflammation caused by shingles, Rapuano says. This lowers the chances of complications from shingles of the eye.
Pupil dilating eye drops Your eye doctor also may prescribe eye drops to keep the pupils open for pain relief due to an internal ocular inflammation caused by shingles.
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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
Things To Know About The Shingles Virus
Intense pain, burning, tingling and a blistering rash these are some of the common symptoms of shingles.
If youve ever had chicken pox, the varicella-zoster virus that causes shingles is dormant in your nerve tissue.
So what causes shingles to spring to life wreaking havoc on your body and what can you do about it? Here are seven things you should know about the shingles virus.
1. Shingles is chicken pox coming back to get you
2. A common cold could trigger shingles
3. You can get shingles more than once
4. You cant give someone shingles
5. Vaccination can prevent shingles
6. Treatment options vary
7. Its rare but shingles can cause blindness
Randell Wexler is an associate professor of family medicine at The Ohio State University Wexner Medical Center.
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You Cannot Get Shingles From Someone With Chickenpox
You cannot get shingles from someone with shingles or chickenpox.
But you can get chickenpox from someone with shingles if you have not had chickenpox before.
When people get chickenpox, the virus remains in the body. It can be reactivated later and cause shingles if someone’s immune system is lowered.
This can be because of stress, certain conditions, or treatments like chemotherapy.
Who Is At Risk For Shingles
Anyone who has had chickenpox is at risk for getting shingles. But this risk goes up as you get older shingles is most common in people over age 50.
People with weakened immune systems are at higher risk of getting shingles. This includes those who:
- Have certain cancers
- Take immunosuppressive drugs after an organ transplant
Your immune system may be weaker when you have an infection or are stressed. This can raise your risk of shingles.
It is rare, but possible, to get shingles more than once.
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How Can I Take Care Of Myself
- Take a pain-relief medicine such as acetaminophen. Take other medicine as prescribed by your healthcare provider.
- Put cool, moist washcloths on the rash.
- Rest in bed during the early stages if you have fever and other symptoms.
- Try not to let clothing or bed linens rub against the rash and irritate it.
- You develop worsening pain or fever.
- You develop a severe headache, stiff neck, hearing loss, or changes in your ability to think.
- The blisters show signs of bacterial infection, such as increasing pain or redness, or milky yellow drainage from the blister sites.
- The blisters are close to the eyes or you have pain in your eyes or trouble seeing.
- You have trouble walking.
What Are The Signs And Symptoms Of Shingles
Shingles causes a painful, blistering rash on your skin. If you get shingles, you may notice the following:
Before the rash appears: For 1 to 2 days before the rash appears, you may have pain, burning, or tingling on an area of skin where the rash will develop. Some people say they felt an electrical sensation on their skin before getting the rash.
Rash appears: A painful, blistering rash appears. It usually appears on one side of your body, often on the torso however, it can appear anywhere on your skin. Some people get more blisters after the rash appears, so it can seem that the rash is spreading.
Rash starts to clear: As the rash clears, the blisters may crack open, bleed, and scab over. For most people, the rash will clear within 2 to 4 weeks.
Although the rash will clear on its own, treatment is important. Taking medication within 3 days of getting the shingles rash can:
Ease your pain
Reduce your risk of developing other health problems, such as long-lasting nerve pain, pneumonia, or hearing loss
Shingles rash on the face
If you have a shingles rash on your face, immediately seeing a doctor for treatment could save your eyesight.
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Am I Contagious If I Have Shingles
Shingles cannot be passed from one person to another. But someone who has never had chickenpox can contract VZV from a person with active shingles. They would then develop chickenpox, not shingles.
Only direct contact with fluid from shingles blisters can transmit the virus. Keep shingles blisters covered with a fluid absorbent dressing to prevent others from contracting the virus.
Treatment If The Condition Gets Worse
In some cases, shingles causes long-term complications. Treatment depends on the specific complication.
- Postherpetic neuralgia is persistent pain that lasts months or even years after the shingles rash heals. Certain medicines, such as anticonvulsants, antidepressants, and opioids, can relieve pain. Most cases of PHN resolve within a year.
- Disseminated zoster is a blistery rash over a large portion of the body. It may affect the heart, lungs, liver, pancreas, joints, and intestinal tract. Treatment may include both antiviral medicines to prevent the virus from multiplying and antibiotics to stop infection.
- Herpes zoster ophthalmicus is a rash on the forehead, cheek, nose, and around one eye, which could threaten your sight. You should seek prompt treatment from an ophthalmologist for this condition. Treatment may include rest, cool compresses, and antiviral medicines.
- If the shingles virus affects the nerves originating in the brain , serious complications involving the face, eyes, nose, and brain can occur. Treatment depends on the nature and location of the complication.
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When To See A Doctor About Shingles
If you notice any symptoms of shingles, Dr. Wild suggests contacting your doctor for a phone or video appointment to discuss your symptoms further.
“You might need medicine to help speed up your recovery and avoid longer-lasting problems. In any case, your doctor will be able to help,” Dr. Wild adds
What Increases Your Risk
Things that increase risk for shingles include:
- Having had chickenpox. You must have had chickenpox to get shingles.
- Being older than 50.
- Having a weakened immune system due to another disease, such as diabetes or HIV infection.
- Experiencing stress or trauma.
- Having cancer or receiving treatment for cancer.
- Taking medicines that affect your immune system, such as steroids or medicines that are taken after having an organ transplant.
If a pregnant woman gets chickenpox, her baby has a high risk for shingles during his or her first 2 years of life. And if a baby gets chickenpox in the first year of life, he or she has a higher risk for shingles during childhood.footnote 1
Postherpetic neuralgia is a common complication of shingles that lasts for at least 30 days and may continue for months or years. You can reduce your risk for getting shingles and developing PHN by getting the shingles vaccine.
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Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
What Causes Eye Shingles
Before we take a closer look at shingles affecting the eye , lets talk about what causes shingles in the first place: the chickenpox virus.
As an adult, you may have a hazy memory of spending a week in bed, your itchy body dotted in pink calamine lotion as you binged on daytime TV and ate popsicles by the box.
The blisters may be long gone, but the chickenpox virus still lies dormant in your body.
About one in three U.S. adults will get shingles when the varicella-zoster virus that sparked their childhood chickenpox reactivates in the body, according to Mayo Clinic.
Shingles typically starts out as a band of tenderness or tingling on your skin and then turns into a painful rash.
People will tell you, It was the worst pain I ever had, Rapuano says.
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