How Long Does The Disease Shingles Last

Although Shingles Typically Lasts Three To Five Weeks The Pain Can Linger Learn The Timeline Of A Shingles Rash

Medically reviewed in March 2021

If you have shingles or are concerned about getting shingles, you may be wondering how long the rash will last.

Also called herpes zoster, shingles is a reactivation of the same virus that causes chicken pox. This reactivation causes a painful rash, which usually appears on one side of the torso, though it can occur in other areas of the body, including the face.

Shingles step-by-step Most cases of shingles will last from around three to five weeks. Here is a typical timeline of a shingles outbreak and recovery:

• To begin: You may feel numbness or itching on one side of your body. Burning or tingling pain is also common.
• Days 1 to 5: A red, painful rash appears.
• A few days after the rash appears: The rash becomes fluid-filled blisters.
• Days 7 to 10: The blisters dry up and crust over.
• Weeks 3 to 5: The scabs heal and clear up.

If at all possible, its best to see a healthcare provider as soon as symptoms begin. Within the first 72 hours of when the rash appears, your healthcare provider can prescribe an antiviral medication that you take by mouth. This can shorten the duration of your shingles outbreak, and lower the risk of long-term lingering pain, called post-herpetic neuralgia . Your healthcare provider can also prescribe other treatments to help ease the itching of a shingles rashsuch as wet compresses, calamine lotion, and colloidal oatmeal bathsas well as pain medications to relieve the pain associated with shingles.

Who Should Not Get Shingrix

You should not get Shingrix if you:

• Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix.
• Currently have shingles.
• Currently are pregnant. Women who are pregnant should wait to get Shingrix.

If you have a minor illness, such as a cold, you may get Shingrix. But if you have a moderate or severe illness, with or without fever, you should usually wait until you recover before getting the vaccine.

Key Points About Shingles

• Shingles is a common viral infection of the nerves. It causes a painful rash or small blisters on an area of skin.
• Shingles is caused when the chickenpox virus is reactivated.
• It is more common in people with weakened immune systems, and in people over the age of 50.
• Shingles starts with skin sensitivity, tingling, itching, and/or pain followed by rash that looks like small, red spots that turn into blisters.
• The rash is typically affects just one area on one side of the body or face.
• Treatment that is started as soon as possible helps reduce the severity of the disease.

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When Should I See A Doctor Because Of The Side Effects I Experience From Shingrix

Shingrix causes a strong response in your immune system, so it may produce short-term side effects. These side effects can be uncomfortable, but they are expected and usually go away on their own in 2 or 3 days. You may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen. Contact your healthcare provider if the symptoms are not improving or if they are getting worse.

In clinical trials, Shingrix was not associated with serious adverse events. In fact, serious side effects from vaccines are extremely rare. For example, for every 1 million doses of a vaccine given, only one or two people might have a severe allergic reaction. Signs of an allergic reaction happen within minutes or hours after vaccination and include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness. If you experience these or any other life-threatening symptoms, see a doctor right away.

How Is Postherpetic Neuralgia Treated

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If shingles is caught within the first three days of its outbreak, your healthcare provider may prescribe the antiviral medication acyclovir , valacyclovir or famciclovir . These medications help the rash/blisters heal faster, keep new sores from forming, decrease pain and itching and reduce length of pain after sores have healed.

If your shingles outbreak is not caught early, your healthcare providers has many options to manage your postherpetic neuralgia symptoms.

If your pain is mild, your healthcare provider may recommend:

• Acetaminophen or NSAIDs such as ibuprofen .
• Creams and patches include lidocaine and capsaicin .

If your pain is more severe, your healthcare may prescribe:

• Antiseizure drugs gabapentin and pregabalin .
• Antidepressants, such as escitalopram , quetiapine or amitriptyline.
• Botulinum toxin injections in the area where you are having pain.

Theres no clear-cut superior treatment for PHN. Your provider may need to try more than one medication or prescribe the use of several medications at the same time. You and your provider will discuss options and what makes sense to try for you. Contact your provider if your pain is not lessening after taking your medicine. Take all your medications exactly as prescribed.

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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?

Which Groups To Avoid If You Have Shingles

Pregnant women who have not had chickenpox should avoid people with shingles. See the separate leaflet called Chickenpox Contact in Pregnancy for more details. Also, if you have a poor immune system , you should avoid people with shingles. These general rules are to be on the safe side, as it is direct contact with the rash that usually passes on the virus.

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When To Seek Care

Early shingles symptoms, such as pain or flu-like feelings, are not obvious signs of a shingles outbreak.

Once a rash appears, you should see your primary care physician or a dermatologist. A trained eye can often diagnose shingles by visually inspecting the rash.

If you have shingles, you may never experience the extreme pain that can often come with it. You may only feel itching and some minor discomfort.

Even without the painful symptoms of shingles, its recommended that you see a healthcare professional and start antiviral treatment within 72 hours of a rashs appearance.

Its especially important to seek prompt medical care if a rash forms near one or both eyes. Shingles in the eye may cause permanent vision loss.

Can You Get Shingles After Youve Been Vaccinated

While the shingles vaccine is highly effective, some people can still get shingles. However, people who do get shingles after getting the shingles vaccine usually have milder symptoms and a shorter illness. Youll also be less likely to have complications from shingles, including postherpetic neuralgia.

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Side Effects Of The Shingles Vaccine: Is It Safe

Shingles is a painful rash caused by varicella zoster, the same virus responsible for chickenpox.

If you had chickenpox as a child, the virus hasnt completely gone away. It hides dormant in your body and can reemerge many years later as shingles.

About 1 in 3 people in the United States will develop shingles in their lifetime. This is why vaccination is important. But you should also be prepared for possible side effects. In this article, well discuss the side effects, and talk about who should get the vaccine.

Older adults are most likely to develop shingles. This is why the shingles vaccine is recommended for people ages 50 and older.

Shingrix is the only shingles vaccine approved by the U.S. Food and Drug Administration .

The Shingrix vaccine is a recombinant vaccine. This means vaccine manufacturers created it by altering and purifying DNA that creates an immune response to fight the virus.

The CDC recommends Shingrix for the prevention of shingles and related complications. The Shingrix vaccine is also recommended for anyone who has already gotten another type of shingles vaccine.

Currently, the CDC recommends healthy people ages 50 and older get the Shingrix vaccine. Doctors administer the vaccine in two doses, which are given 2 to 6 months apart.

The Shingrix vaccine has high success rates in protecting people against shingles.

The Shingrix vaccine is as much as effective in preventing shingles. The same is true for Shingrix and postherpetic neuralgia.

How To Get A Shingrix Discount Without Medicare

There are a few different ways to receive a discount on the Shingrix vaccine. SingleCares prescription discount card provides instant savings on many prescription drugs, including Shingrix. Medicare recipients cannot use SingleCare and Medicare coverage together, but they can choose to use whichever offers a better deal for them. For those who dont have a Medicare plan that covers Shingrix, SingleCare can provide a discount.

GSK, the manufacturer of Shingrix, offers apatient assistance program for those who dont have insurance coverage. However, there are income guidelines and other eligibility requirements in order to qualify. Those who are enrolled in a Medicare Part D prescription drug plan may still be eligible for the program if their income falls below a certain threshold and theyve spent at least $600 on prescription medications through their plan during the current calendar year.

Lastly, you may qualify for financial assistance through a Medicare program called Extra Help. Extra Help can help Part D consumers lower their Medicare-related costs.

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How Is Shingles Spread

A person must have already had chickenpox in the past to develop shingles. A person cannot get shingles from a person that has shingles. However, the virus that causes chickenpox and shingles can be spread from a person with active shingles to a person who has never had chickenpox or had the chickenpox vaccine. The person exposed to the virus would develop chickenpox, not shingles. A person with shingles can spread the virus when the rash is in the blister-phase. The blister fluid is filled with virus particles. The virus is spread through direct contact with the rash or through breathing in virus particles that get mixed in the air. Once the rash has developed crusts, the person is no longer contagious. A person is not infectious before blisters appear or if pain persists after the rash is gone .

What Are The Complications Associated With Shingles

Shingles is not usually dangerous to healthy individuals although it can cause great misery during an attack. Anyone with shingles on the upper half of their face, no matter how mild, should seek medical care at once because of the risk of damage to the eye. Very rarely, shingles can lead to pneumonia, hearing problems, blindness, brain inflammation or death. For about one person in five, severe pain can continue even after the rash clears up. This pain is called post-herpetic neuralgia. As people get older, they are more likely to develop post-herpetic neuralgia, and it is more likely to be severe.

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How To Pay For Shingrix

Commercial insurance covers about 96% of insured people for the Shingrix vaccine. Most people with private insurance will pay under $5 for each dose.

Programs like Medicaid cover Shingrix in certain states. Medicare Parts A and B do not cover the shingles vaccine. But individuals covered under Medicare prescription drug plans, or Part D, will have their vaccines covered.

For people who do not have access to insurance, there are a number of vaccine assistance programs and affordable health coverage options available. Many of these programs provide vaccines at little or no cost.

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.

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Is There A Vaccine For Shingles

There are two shingles vaccines currently available, Shingrix and Zostavax. Shingrix vaccine, a newer vaccine, is preferred over Zostavax for the prevention of shingles and its complications. Two doses of Shingrix given 2 to 6 months apart are recommended for healthy adults 50 years of age and older. Shingrix is also recommended for adults who have previously received Zostavax. A single dose of Zostavax may still be used to prevent shingles in certain cases for healthy adults 60 years and older.

What Are The Symptoms

The first sign of shingles is often burning, sharp pain, tingling, or numbness in your skin on one side of your body or face. The most common site is the back or upper abdomen. You may have severe itching or aching. You also may feel tired and ill with fever, chills, headache, and upset stomach or belly pain.

One to 14 days after you start feeling pain, you will notice a rash of small blisters on reddened skin. Within a few days after they appear, the blisters will turn yellow, then dry and crust over. Over the next 2 weeks the crusts drop off, and the skin continues to heal over the next several days to weeks.

Because shingles usually follows nerve paths, the blisters are usually found in a line, often extending from the back or side around to the belly. The blisters are almost always on just one side of the body. Shingles usually doesn’t cross the midline of the body. The rash also may appear on one side of your face or scalp. The painful rash may be in the area of your ear or eye. When shingles occurs on the head or scalp, symptoms can include headaches and weakness of one side of the face, which causes that side of the face to look droopy. The symptoms usually go away eventually, but it may take many months.

In some cases the pain can last for weeks, months, or years, long after the rash heals. This is called postherpetic neuralgia.

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Persons With Chronic Diseases

Autoimmune disease

Although definitive data are lacking, individuals with autoimmune disease not being treated with immunosuppressive drugs are not considered significantly immunocompromised. Individuals 50 years of age without contraindications should receive RZV.

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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.

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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.

Shingrix Dosage And Schedule

Shingrix should be administered to immunocompetent adults aged 50 years and older and adults aged 19 years who are or will be immunodeficient or immunosuppressed because of disease or therapy as a two-dose series , 2 to 6 months apart . However, for persons who are or will be immunodeficient or immunosuppressed and who would benefit from completing the series in a shorter period, the second dose can be administered 12 months after the first. See more detailed clinical guidance.

If more than 6 months have elapsed since the first dose of Shingrix, you should administer the second dose as soon as possible. However, you do not need to restart the vaccine series.

If the second dose is given less than 4 weeks after the first dose, the second dose should be considered invalid. A valid second dose should be administered 2 months after the invalid dose .

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