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.
Stay Away From Certain Groups Of People If You Have Shingles
You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.
This is because shingles is caused by the chickenpox virus.
Try to avoid:
- pregnant people who have not had chickenpox before
- people with a weakened immune system like someone having chemotherapy
- babies less than 1 month old unless you gave birth to them, as your baby should be protected from the virus by your immune system
Which Shingles Vaccine Is Best
Eventually, your doctor will start mentioning the shingles vaccine which can help prevent shingles from developing, as well as reduce its severity if it does still develop. The shingles vaccine can also reduce your risk of postherpetic neuralgia, one of the most common complications of shingles.
“Because shingles becomes increasingly more common as a person ages, the shingles vaccine is currently recommended for people over the age of 50. There are two vaccine options, Shingrix and Zostavax, with Shingrix being the newer of the two vaccines and the preferred choice as it is more effective.”
When it comes to how the shingles vaccine works, Shingrix is a shot that requires two doses administered six months apart. There are temporary side of effects of this shingles vaccine that can be unpleasant, however. Shingles vaccine side effects typically don’t last more than three days, but include:
- Redness or swelling
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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.
Who Is At Risk For Getting Shingles
People who have had chickenpox who are more likely to develop shingles include those:
- With a weakened immune system .
- Over the age of 50.
- Who have been ill.
- Who have experienced trauma.
- Who are under stress.
The chickenpox virus doesnt leave your body after you have chickenpox. Instead, the virus stays in a portion of your spinal nerve root called the dorsal root ganglion. For the majority of people, the virus stays there quietly and doesn’t cause problems. Researchers aren’t always sure why the virus gets reactivated, but this typically occurs at times of stress.
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Who Should Get Shingrix
Adults 50 years and older should get two doses of Shingrix, separated by 2 to 6 months. Adults 19 years and older who have or will have weakened immune systems because of disease or therapy should also get two doses of Shingrix. If needed, people with weakened immune systems can get the second dose 1 to 2 months after the first.
You should get Shingrix even if in the past you:
- Received varicella vaccine
There is no maximum age for getting Shingrix.
If you had shingles in the past, Shingrix can help prevent future occurrences of the disease. There is no specific length of time that you need to wait after having shingles before you can receive Shingrix, but generally you should make sure the shingles rash has gone away before getting vaccinated.
Chickenpox and shingles are related because they are caused by the same virus . After a person recovers from chickenpox, the virus stays dormant in the body. It can reactivate years later and cause shingles.
Shingrix is available in doctors offices and pharmacies.
If you have questions about Shingrix, talk with your healthcare provider.
* A shingles vaccine called zoster vaccine live is no longer available for use in the United States, as of November 18, 2020. If you had Zostavax in the past, you should still get Shingrix. Talk to your healthcare provider to determine the best time to get Shingrix.
Shingles Vaccine Lawsuit Update
Our law firm is handling Zostavax and Shingrix vaccine lawsuits. These vaccines were intended for the prevention of herpes zoster which is more commonly known as the shingles virus.
These herpes lawsuits allege that the shingles vaccine was unsafe for patients. The key injury, incredibly, is that the Zostavax shingles vaccine causes shingles and zoster-related injuries. So the very thing meant to protect them against shingles actually caused shingles.
The Zostavax shingles suits make a lot of allegations against Merck. Many of the extraneous claims have already been dismissed. Lawyers make a lot of claims when they file lawsuits like this, sometimes too many. But the core of it is plaintiffs attorneys allege that Merck knew or should have known of the risks and reactions associated with their product.
Because Merck knew of the risks, it had a legal obligation to provide warnings. These should have fairly and accurately depicted the severity of the risks associated with the Zostavax. This is particularly true because there were better options available than Zostavax on the market.
- Speculation about Zostavax claims settlement value based on the value of similar types of cases and injuries
- Shingrix recall
The Shingles Virus The New Jersey Lawsuit
This lawsuit filed in New Jersey alleges that nearly 1,000 victims took Zostavax vaccine to avoid shingles, but instead developed a recurring strain of herpes zoster, which is more difficult to treat than usual.
Zostavax MDL Update
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I Got The Shingles Shot And Still Got Shingles How Come
Reader Question 741 votes
Its not really surprising that you got shingles after being vaccinated. No vaccine is 100 percent effective and whilechildhood vaccinations get close, the shingles vaccine only cuts the risk of shingles by half for people who receive it at age 60 or older. The Centers for Disease Control and Prevention recommends a single dose for those 60 or older, though the vaccine is approved for use starting at age 50.
Even though the vaccine is not always effective, it still protects a lot of people, since nearly one in three adults develops shingles during their lifetime. And if you do get shingles, you may have a milder episode because you were vaccinated. A large clinical trial found that the vaccine reduces the risk of having very severe, long-lasting pain, a syndrome called postherpetic neuralgia.
Its these extreme, prolonged painful episodes that the vaccine works better at preventing, said Dr. Rafael Harpaz, a medical epidemiologist in the division of viral diseases at the C.D.C.What would motivate me to run out and get the vaccine, he said, would be to protect myself from being that rare person who gets 10 years of life-shattering pain.
The vaccine may be most effective at younger ages. If you get it in your 60s, it reduces cases by nearly two thirds, or 64 percent it reduces risk by 41 percent if you are in your 70s when vaccinated and by 18 percent if you are in your 80s.
Do you have a health question? Submit your question to Ask Well.
Who Should Not Get The Shingles Vaccine
Some people shouldnt get the shingles vaccine. These people include those:
- Who currently have shingles.
- Who have had a severe allergic reaction to the shingles vaccine in the past.
- Who have tested negative for immunity to the varicella-zoster virus, meaning youve never had chickenpox. If youve never had chickenpox, you should get the chickenpox vaccine.
- Who are ill. You should wait until your illness has passed before receiving the shingles vaccine.
- Who are pregnant or breastfeeding.
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The First Symptoms Of Shingles
Early symptoms of shingles can appear several days before the more obvious symptoms. However, some people will not have early symptoms before a rash appears.
The most common early symptoms occur on one part of the body or face. This often happens in the abdominal area.
These symptoms many include:
The pain can worsen as shingles develops. The pain can be sharp, stabbing, and intense.
It may also cause hypersensitivity, or an excessive reaction to touch.
There are also other early symptoms of shingles.
Although not every person with shingles will experience them, early symptoms include:
- general feeling of being unwell
Your doctor can often diagnose shingles based on these symptoms. Your doctor may prescribe medication to speed up recovery.
Medication also reduces the chance of complications, so seeking early intervention is important.
How Is Internal Shingles Treated
Even though shingles is a virus, this is a case where there are antiviral medications available by prescription. Thats why its important to see your doctor right away if you suspect you have shingles. Early treatment may reduce the risk of complications, like PHN. Serious complications require hospitalization.
Common antiviral medications for shingles include:
Depending on the location and severity of the shingles infection, steroids may also help. Anti-inflammatory medications like ibuprofen and pain-relieving medication such as acetaminophen or other prescription pain medication can help in easing pain experienced from shingles.
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How Is Shingles Spread
You do not catch shingles it comes on when theres a reawakening of chickenpox virus thats already in your body. The virus can be reactivated because of a range of issues, including advancing age, medicine, illness or stress.
Anyone who has had chickenpox can get shingles. Its estimated that around 1 in 5 people who have had chickenpox go on to develop shingles.
First Signs And Symptoms Of Shingles
Among the systemic symptoms that may appear in the first few days of the prodromal stage of shingles are:
- Pain in a specific, localized area of the body
- Sensitivity to light
The most telling first symptom of shingles typically is the pain. Often excruciating, the discomfort has been described as burning, stinging, tingly, prickly, itchy, numbing, achy, or shooting. It can be persistent or intermittent, but will always be limited to one side of the body.
Because the pain from shingles is localized, it can be mistaken for other conditions depending on where it’s focused.
For example, a stabbing or persistent pain on one side of the lower back may mistakenly be attributed to sciatica or a kidney problem. Shingles pain around the lips could suggest a cold sore coming on, while pain focused on the eye or ear might seem like the start of a migraine.
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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.
How Can I Prevent Getting Shingles
Prevent your children from getting shingles later in life by getting them immunized with the chickenpox vaccine. As an adult the best way to not get shingles is to get the shingles vaccine. The shingles vaccine is safe. It is much safer to get the vaccine than to get the disease. When you get immunized with the shingles vaccine you help protect others from chicken pox.
People with shingles can prevent spreading the virus by covering their rash, not touching or scratching the rash and washing their hands often.
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Can You Prevent Shingles
In Canada, there are two approved shingles vaccines, Shingrix and Zostavax II. Health Canada recommends that individuals over the age of 50 be vaccinated against shingles, even if they’ve experienced a shingles flare-up before.
You should talk to your health care provider about which vaccine is right for you based on your personal medical history.
With files from Gail Johnson.
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What Are The Complications Alleged By The Plaintiffs In The Zostavax Lawsuits
Thousands of Zostavax lawsuits have been filed against the drugs manufacturer Merck & Co Inc. Pharmaceuticals since 2016. The plaintiffs in these lawsuits allege that, in addition to the above complications, the administration of Zostavax causes:
- neurological diseases or disorders, like brain inflammation and brain damage,
- spinal cord inflammation ,
- stiffness in the neck and back.3
Encephalitis can be very serious. In extreme cases, it can cause brain damage and death.
Further, treatment of the affliction can be difficult. Patients require extensive care with ongoing monitoring of their heart and respiratory system. Treatment also involves precise management of a persons fluid and electrolyte balances.4
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When To See A Doctor
A person should see a doctor if they are experiencing any early symptoms of shingles, especially if they have a history of shingles or are at a higher risk of developing an acute outbreak of the virus due to any of the risk factors above.
A person undergoing treatment for shingles should follow up with a doctor if:
- the symptoms get significantly worse after treatment
- the symptoms do not go away within a few weeks
- new or different symptoms appear in addition to the rash
- there are signs of secondary infection, such as high fever, an open wound, or red streaks coming out of a shingles lesion
People should also speak to a doctor if they have lasting nerve pain in the affected region after the rash of shingles disappears. This complication, called postherpetic neuralgia, affects
In many cases , a doctor will prescribe an antiviral medication, such as famciclovir, valacyclovir, or acyclovir. Pain-relieving medicine can also help ease symptoms. Calamine lotion, colloidal oatmeal compresses and baths, and cold compresses may ease the itching of shingles.
It is important to refrain from scratching the affected area as this can irritate the blisters and increase the risk of infection.
Some people develop a superimposed bacterial skin infection over their shingles lesions. This infection can be very painful, and it may spread if a person does not receive treatment. Individuals who develop this infection in addition to shingles may require antibiotic treatment or even hospitalization.
If You Have More Than One Area Of Blisters What Can You Expect If You Go To The Hospital
Its important to note that most people with shingles dont need to be in a hospital, but if you do:
- Youll be in a contact isolation room.
- The door will be kept closed.
- A sign on your door will remind people who have never had chickenpox or the vaccine not to enter.
- The sign will also remind staff to wear gowns and gloves when entering the room.
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Vaccinate To Decrease Your Shingles Risk
Your chances of getting shingles increase as you get older. The U.S. Centers for Disease Control and Prevention recommends that adults age 50 and older get vaccinated against shingles.
Two vaccines, recombinant zoster vaccine and zoster vaccine live are available in the United States to prevent shingles. Shingrix is the preferred vaccine.
The CDC recommends Shingrix for adults 50 years and older, whether or not they have already had shingles or previously received the Zostavaxvaccine, which has been used since 2006. You should get two doses of Shingrix, two to six months apart. Two doses of Shingrix are more than 90% effective at preventing shingles. Shingrix is also 90% effective in helping to prevent PHN in those who get shingles despite being vaccinated.
While Zostavax is still available, studies show it is less effective than Shingrix.Zostavax may be used in some healthy adults 60 years and older, for example, in those who are allergic to Shingrix.
There is no specific time that you must wait after having shingles before receiving the shingles vaccine. But its probably best to hold off until the shingles rash has disappeared before getting vaccinated.
About the Author
Urmila Parlikar, Associate Director, Digital Health Products, Harvard Health Publishing
What Causes Shingles
Anyone who has had chickenpox in the past can develop shingles. The chickenpox virus stays in the nerve cells near the spine but is not active. Shingles occurs when the virus becomes active again.
Shingles can occur at any age, but it usually affects people over 40. About 1 in 3 people who have not been immunised against chicken pox or shingles will develop shingles at some stage during their lifetime. Shingles often occurs with no known trigger. It is more likely to occur if you:
- are aged 60 or older
- are experiencing physical and emotional stress
- have HIV and AIDS
- have had an organ transplant
- have recently had a bone marrow transplant
- have a condition which requires treatment that affects the immune system, such as chemotherapy for cancer
Usually, people only get shingles once in their lives. But sometimes, especially if you have a weakened immune system, you might get repeated infections. You cannot catch shingles from someone who has the condition. If you have not had chickenpox, you can catch chickenpox by coming into direct contact with fluid on the blisters of someone who has shingles.
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