Wednesday, July 17, 2024

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Is There A Vaccine For Shingles

Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health

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.

Other Health Problems Due To Shingles

Some people develop other health problems after the shingles rash clears, which include:

Postherpetic neuralgia : This is the most common. Occurring where you had the rash, PHN can cause constant tingling, burning, and pain. For others, the pain comes and goes.

Whether the pain is constant or intermittent, it can go on for a long time. You can have PHN for months, years, or the rest of your life. There is no way to know how long it will last.

The pain caused by PHN can become so severe that it interferes with your life, making everyday activities painful. A musician may no longer be able to play an instrument. Some people cannot walk comfortably. It may be difficult to bathe or get dressed. You may have trouble sleeping.

How to prevent PHN: If you have shingles, you can greatly reduce your risk of PHN by getting treated for shingles within 3 days of developing the rash.

Get treated for shingles within 3 days of developing the rash

Taking antiviral medication within 3 days of getting the shingles rash can: Reduce your risk of developing PHN Ease symptoms of shingles Clear the shingles rash more quickly

Other health problems that can develop after the shingles rash clears include:

  • Blindness or loss of some eyesight

Although rare, some people die of shingles.

Treatment can prevent these complications.

You can find out if you have a greater risk of developing shingles at, Shingles: Causes.

Images

What Can I Do If I Have An Attack Of Shingles

Shingles can be a painful and very uncomfortable condition, but there are a number of things you can do to make yourself more comfortable. These include:

  • Taking paracetamol for the pain
  • Applying a cold compress to affected areas
  • Keeping the rash clean and dry to reduce infection
  • Avoiding antibiotic cream.

If you think you are experiencing symptoms of shingles, the best thing to do is to go and see your doctor. It is important to get shingles diagnosed as soon as possible, as early treatment with antiviral medicine can help lessen an attack, but this needs to be taken within the first few days of any visible symptoms.

Read Also: What To Put On Shingles To Stop Itch

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 Should Not Be Vaccinated With Shingrix

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You shouldnt receive the Shingrix vaccine if you:

  • Have ever had a severe allergy to this vaccine or any ingredient in this vaccine.
  • Are breastfeeding or pregnant.
  • Currently have shingles.
  • Are ill and have a high fever.
  • Have tested negative for immunity to varicella-zoster virus .

Ask your healthcare provider if the benefits of getting the vaccine outweigh any potential risks.

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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.

Can Shingles Be Harmful During Pregnancy

Journal of Obstetrics and Gynaecology

Still, pregnant women who develop chicken pox can experience complications, including varicella pneumonia, a condition that can be fatal.

If a pregnant woman develops a varicella rash from five days before to two days after delivery, the newborn will be at risk for neonatal varicella.

Pregnant women who have been exposed to the virus may be given a varicella-zoster immune globulin injection to reduce the risk of complications to both mother and baby.

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The Link Between Crohns Disease And Shingles

If you’ve never had chicken pox, as a child or as an adult, and you’re exposed to the virus let’s say you touch someone at the contagious, blister stage of shingles transmission could occur and you’d get chicken pox.

If you haven’t had chicken pox, you can’t get shingles. But someone who has never had chicken pox or been vaccinated for it can contract chicken pox through close contact with someone who has shingles.

Is Shingles Contagious

Shingles: What you need to know about causes, symptoms, and prevention.

Yes. You can spread the varicella zoster virus to people whoâve never had chickenpox and havenât been vaccinated.

Youâre contagious until all of the sores have crusted over. Until then, avoid pregnant women who may not have had chickenpox or the vaccine, people with weak immune systems, and newborns.

Also Check: Should I See A Doctor For Shingles

S Of The Shingles Rash

If you have a rash of blisters on your skin or a rash that looks like any shown below, see your doctor immediately for a diagnosis. If you have shingles, its important to get treatment, preferably within 2 to 3 days.

If youve had the rash for longer than 2 to 3 days, its still important to see your doctor.

A typical shingles rash

Doctors often refer to this rash as the shingles band because it looks like a band that appears on one area of your body, as shown here.

A rash on one side of the body

A key that you have shingles is that the rash only develops on one side of your body.

Close-up of a shingles rash

The shingles rash often causes a cluster of tiny blisters. You may notice that the skin beneath the blisters is red and inflamed, as shown here.

The rash will also feel painful.

Blistering shingles rash on a man’s chest

Although the rash can begin in one area, you may notice that a few scattered blisters develop in other areas, as shown here.

Shingles rash on the palm of a man’s hand

While shingles tends to develop on your body or face, it can appear anywhere on your skin.

How Can I Prevent The Spread Of The Shingles Virus

The virus can be passed to a person who has never had chickenpox. This usually happens if the other person comes in contact with your open sores. This person may get chickenpox, but not shingles. You are contagious until your blisters scab over. Stay away from people who have not had chickenpox or the chickenpox vaccine. Avoid pregnant women, newborns, and people with weak immune systems. They have a higher risk of infection.

  • Wash your hands often. Wash your hands several times each day. Wash after you use the bathroom, change a child’s diaper, and before you prepare or eat food. Use soap and water every time. Rub your soapy hands together, lacing your fingers. Wash the front and back of your hands, and in between your fingers. Use the fingers of one hand to scrub under the fingernails of the other hand. Wash for at least 20 seconds. Rinse with warm, running water for several seconds. Then dry your hands with a clean towel or paper towel. Use hand sanitizer that contains alcohol if soap and water are not available. Do not touch your eyes, nose, or mouth without washing your hands first.
  • Cover a sneeze or cough. Use a tissue that covers your mouth and nose. Throw the tissue away in a trash can right away. Use the bend of your arm if a tissue is not available. Wash your hands well with soap and water or use a hand sanitizer.

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When To Contact A Doctor

Its important to visit your doctor as soon as possible if you suspect you have shingles, especially if youre somebody at an increased risk of developing it.

The American Academy of Dermatology recommends visiting a dermatologist or other healthcare professional within 3 days to prevent long-term complications.

Shingles typically clears up within a few weeks and does not commonly recur. If your symptoms have not lessened within 10 days, contact a doctor for a follow-up and reevaluation.

How Is Postherpetic Neuralgia Treated

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Treatments include lotions or creams and/or other medications not specifically used for pain, such as antidepressants or drugs for epilepsy. Regular pain relievers are not usually effective for this type of pain.

If your pain doesnt lessen, you might try therapies like nerve blocks or steroid injections near the area where the nerves exit the spine. Your provider might suggest an implantable nerve stimulator device for severe, ongoing pain that hasnt responded to other treatments.

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Can You Get Shingles If You Havent Had Chickenpox

No. You cant get shingles if youve never had chickenpox, but you can get chickenpox from someone who has shingles. If youve never had chickenpox and you come into direct contact with the oozing, blister-like rash of someone with shingles, the varicella-zoster virus can infect you and you would develop chickenpox.

Once youve had chickenpox, you could develop shingles at some point in your life. This is because the varicella-zoster virus never fully goes away after youve had chickenpox. It lies quietly inactive in your nerve tissue. Later in life, the virus may become active again and appears as shingles.

Can you get chickenpox more than once?

Its rare to get chickenpox twice in your life. Once youve had chickenpox, youre usually immune to it for the rest of your life. However, its not totally impossible. If you have a severely weakened immune system , you can get chickenpox a second time. If youve had chickenpox, you are more likely to get shingles at some point in your life than a repeat bout of chickenpox.

Do You Need To Stay Away From Children People Who Are Pregnant Have Cancer Or Anyone With A Weak Immune System After You Get The Zostavax Vaccine

According to the CDC, its safe to be around babies and young children, pregnant women or anyone with a weakened immune system after you get the Zostavax vaccine. Even though the Zostavax vaccine contains a weakened live varicella-zoster virus, the CDC says theres no documented case of a person getting chickenpox from someone who has received the Zostavax vaccine. And remember: You cant get shingles unless youve already had chickenpox.

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How Are Shingles And Herpes Treated

Neither condition can be cured, but treatments are available.

Shingles is treated with both antiviral prescription medications that can speed up your healing and with medications that can help with your pain. Your exact treatment plan will depend on:

  • how severe your case is
  • your overall health
  • the medications you already take

Antiviral options include:

Herpes is also treated with antiviral medication.

Antivirals can help you heal first and reduce your symptoms. Depending on your case and your overall health, you might take these medications during an outbreak or daily.

Options for herpes treatment include both acyclovir and valacyclovir.

Some other pain management options may include:

  • numbing patches, gels, or creams you can apply to your skin
  • codeine or other narcotic medications
  • steroid injections
  • anticonvulsants or antidepressants that can control pain

Talk with a doctor before using any of the treatments above. These treatments should not be used without guidance from a medical professional. A medical professional can help you avoid any unintended side effects, such as allergic reactions.

What Can I Do To Help Prevent Shingles Or A Shingles Outbreak

Shingles Vaccine at Rite Aid Pharmacy
  • A vaccine may be given to help prevent shingles. You can get the vaccine even if you already had shingles. The vaccine comes in 2 forms. A 2-dose vaccine is usually given to adults 50 years or older. A 1-dose vaccine may be given to adults 60 years or older.
  • The vaccine can help prevent a future outbreak. If you do get shingles again, the vaccine can keep it from becoming severe. Ask your healthcare provider about other vaccines you may need.

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What Are Risk Factors For Shingles

A weakened immune system might wake up the virus. After youâve had chickenpox, youâre more likely to get shingles if you:

  • Are 50 or older
  • Are under a lot of stress
  • Have cancer, HIV, or another disease that lowers your bodyâs defenses
  • Have had a serious physical injury
  • Take long-term steroids or other medicines that can weaken your immune system

But many people who get shingles donât fit into any of these categories.

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.

Also Check: How Far Apart Should Your Shingles Shot Be

Is Shingles Airborne

The varicella-zoster virus that causes shingles is not airborne. It cant be spread if someone with shingles coughs or sneezes near you or shares your drinking glass or eating utensils.

The only way the virus is contagious is if you come into direct contact with an oozing blister of someone who has shingles. You wont get shingles, but you may develop chickenpox if youve never had it before.

When To See A Doctor

General Dermatology

Getting treatment shortly after the onset of symptoms can help decrease the duration and severity of infection.

This is especially important for people over 60 and those who have a weakened immune system, as this could increase the risk of developing serious complications.

If the rash continues spreading to other parts of the body or other symptoms occur, such as high fever, it is best to consult with a doctor.

Additionally, those who develop a rash near the eye should seek immediate medical attention, as this can be a sign of HZO. The condition can cause scarring, vision loss, and permanent eye damage if left untreated.

causes chickenpox. After a person recovers from chickenpox, the virus remains dormant in the sensory ganglia of their cranial nerve or the dorsal root ganglia within the peripheral nervous system.

VZV belongs to a group of viruses called herpes viruses. This is why shingles also has the name herpes zoster.

All herpes viruses can hide in the nervous system, where they can remain indefinitely in a latent state.

Under the right conditions, the herpes zoster virus can reactivate, similarly to waking up from hibernation, and travel down nerve fibers to cause a new active infection.

What triggers this is not usually clear, but it may happen when something weakens the immune system, prompting the virus to reactivate.

If this happens, and the person has not received a vaccination against chickenpox, they would develop chickenpox first, not shingles.

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For Older Adults: Shingles Vaccine

A different vaccine, the herpes zoster vaccine, is available for people aged 50 and older who have had chickenpox and therefore carry VZV. Experts also recommend this vaccine for those who have not had chickenpox or shingles.

In the U.S., of people born before 1980 already have this virus in their system. The herpes zoster vaccine can help prevent shingles in people who already have the virus.

The options available are Zostavax and a newer vaccine called Shingrix.

After two doses of Shingrix, a person will have more than 90% protection against shingles, falling to just above 85% after 4 years, according to the CDC.

How Long Is Shingles Contagious

Shingles is not contagious. But if someone comes into contact with the rash at a certain stage, they may contract the varicella-zoster virus and develop chickenpox. If they have chickenpox, shingles can develop later in life.

To prevent the virus from being transmitted, keep shingles rashes covered. Cover the rash from when the blisters appear to when they crust and scab over. According to the , this usually takes 7 to 10 days.

The rash will usually clear after 2 to 4 weeks.

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Can You Get Shingles More Than Once

Although possible, its rare to experience shingles more than once. In a 2019 study , researchers found the reoccurrence rate of shingles was 5.3 percent over an average of a 4.4-year follow-up period.

The researchers found that experiencing shingles that lasted more than 30 days significantly increased the risk of reoccurrence. Other risk factors were:

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