How To Use Valtrex
This medication works best when started at the first sign of an outbreak, as directed by your doctor. It may not work as well if you delay treatment. For shingles or chickenpox, start taking valacyclovir at the first symptom or as soon as possible after the rash appears. For cold sores or genital herpes, start taking this medication at the first sign or as soon as you feel tingling, itching, or burning.
Valacyclovir works best when the amount of medicine in your body is kept at a constant level. Take this drug at evenly spaced intervals. To help you remember, take it at the same time each day.
Continue to take this medication until the full prescribed amount is finished. Do not change your dose, skip any doses, or stop this medication early without your doctor’s approval.
Tell your doctor if your condition persists or worsens.
What Are Common Side Effects Of Shingles Medication
Gastrointestinal side effects are common across shingles medications. These include nausea, diarrhea, upset stomach, and vomiting. Its important to stay hydrated while taking medications that cause these side effects, as dehydration could be more dangerous than the virus itself.
This is not a full list of side effects. Ask a healthcare professional, such as your physician or pharmacist, for more details regarding the possible side effects of your particular medication.
Liquid Dimethyl Sulfoxide And Idoxuridine
Idoxuridine is an antiviral medication approved in Europe for treating shingles.
One 2015 publication suggested frequent application of 5 to 40 percent idoxuridine dissolved in DMSO may speed up the healing time of shingles. However, in the United States, idoxuridine is only FDA-approved to treat keratitis, a herpes simplex virus infection of the cornea of your eye.
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Treating The Pain Of Phn
Exactly how best to deal with the pain is a difficult question. Rice led a research team that looked at 35 clinical trials of various treatments. The findings appear in the July issue of the free-access online journal PloS Medicine.
“The most important thing to realize is these are painkillers,” Rice says. “You are treating the pain, not the disease itself. And this is due to permanent nerve damage. It is like a stroke. We can’t make the nerve damage better, but we can treat the disability. And for PHN, pain is one of those disabilities.”
What helps? Rice’s team found good evidence supporting:
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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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.
Should I See A Doctor
It is usually worth seeing a doctor to be certain about the diagnosis and to see if you need treatment or not. Ideally you should see a doctor as soon as possible after the rash appears.
The rash of shingles can be very painful. So even if the doctor doesnât think you need an anti-shingles medicine, they may be able to give you stronger painkillers than those you can buy over the counter from the chemist.
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What Drugs Are Prescribed For Shingles
- An injection including corticosteroids and local anesthetics
If postherpetic neuralgia develops, similar medications are used to treat PHN pain.
While it may seem strange for your doctor to prescribe drugs for shingles that are commonly used to treat depression and prevent seizures, shingles is at root a nerve disorder, and these drugs work in different ways to calm overactive nerves.
Antiepileptics in general are thought to reduce the ability of the neurons to fire at high frequency, says Sangeetha Kodoth, MD, an allergist and immunologist with Allergy Specialists of Knoxville in Tennessee.
Antibacterial agents may also be prescribed if a bacterial infection occurs with the shingles rash.
Before taking any medication for shingles, be sure to talk to your doctor about possible side effects.
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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Preventing The Virus Spreading
If you have the shingles rash, do not share towels or flannels, go swimming, or play contact sports. This will help prevent the virus being passed on to someone who has not had chickenpox.
You should also avoid work or school if your rash is weeping and cannot be covered.
Chickenpox can be particularly dangerous for certain groups of people. If you have shingles, avoid:
- women who are pregnant and have not had chickenpox before as they could catch it from you, which may harm their unborn baby
- people who have a weak immune system, such as someone with HIV or AIDS
- babies less than one month old, unless it is your own baby, in which case your baby should have antibodies to protect them from the virus
Once your blisters have dried and scabbed over, you are no longer contagious and will not need to avoid anyone.
What Are Eye Shingles
Eye shingles is a painful rash of the skin around the eye. It typically affects the forehead and skin of the upper lid. It also can affect the side or tip of the nose. If not quickly daignosed and treated, shingles in the eye can cause permanent damage to your vision.
Shingles on the face and eye is caused by the same virus that causes chickenpox. Shingles can be limited to the area around your eye or it can cause a painful red rash elsewhere on your body.
Over the past six decades, cases of shingles have been on the rise.
The number of cases of eye shingles in the United States tripled from 2004 to 2016, according to University of Michigan’s Kellogg Eye Center.
Researchers found that people over age 75 have the greatest risk. Whites and women also present with a higher incidence of eye shingles.
What explains this increase? Weakening of the immune system from chronic diseases and stress are factors.
Dr. Christopher Rapuano, MD, chief of Cornea Service at Wills Eye Hospital, one of the top U.S. ophthalmic specialty hospitals, says few Americans are getting vaccinated for shingles, which is the best way to avoid the disease and protect your eyes.
Shingles can cause bad things to happen to the eyes, and some of those things can happen even with good treatment, he says.
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What Are Some Common Treatments For Shingles
The CDC recommends that adults 50 years or older receive two doses of the shingles vaccine. Additionally, several antiviral medicines like acyclovir, valacyclovir, and famciclovir are available to treat shingles and shorten the length and severity of the illness. These medicines are most effective when taken immediately after the rash appears.
Best Treatments For Lasting Shingles Pain
Postherpetic Neuralgia Pain: What Works, What Doesn’t
Doctors call it postherpetic neuralgia or PHN. It’s caused by nerve damage left behind by a case of shingles. Shingles itself comes from reactivation of a chickenpox virus, varicella zoster. The virus travels down nerve fibers to cause a painful skin rash.
When the rash goes away, the pain usually goes with it. But for 12% to 15% of people the pain remains. If your shingles pain lasts eight to 12 weeks after the rash goes away, you’re part of an “unfortunate minority,” says pain researcher Andrew S.C. Rice, MD, of Imperial College, London.
“Among people with PHN, some have their pain resolve in the first year to 18 months after the shingles rash goes away,” Rice tells WebMD. “But if they have pain longer than that, it is not going to go away on its own. In either case, a person must deal with the pain.”
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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:
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 Is Shingles Diagnosed
Schedule an appointment with your primary care provider or urgent care facility if you experience any symptoms of shingles . You may require immediate medical attention if shingles develops in the eye, if it is widespread across the body, if youre 60 years old or older, or if you have a weakened immune system from another chronic illness. Consider contacting an ophthalmologist for urgent care as you may be able to get an appointment sooner.
Your primary care provider can diagnose shingles. However, if symptoms appear in the eye, then you might need to see an ophthalmologist.
Shingles can usually be diagnosed with a simple physical exam, as symptoms are usually distinctive. However, if your symptoms are atypical, your doctor may send a tissue scraping or culture from the blisters to the lab for testing. Blood, cerebrospinal fluid, or saliva tests may be necessary if you have nerve pain without a skin rash.
Your healthcare provider may also ask the following questions to help confirm the diagnosis:
- Have you had chickenpox before?
- Are you over the age of 60?
- Have you had the shingles vaccine?
- Are you stressed?
- Do you have a chronic illness or are you taking medications that could weaken your immune system?
Over The Counter Treatment For Shingles
Over the counter treatment for shingles involves the use of non steroidal anti-inflammatory drugs such as naproxen and ibuprofen.
Over the counter treatment for shingles involves the use of non steroidal anti-inflammatory drugs such as naproxen and ibuprofen.
Shingles is a skin problem that is typically caused by the infection of herpes zoster virus. People who have had a history of chickenpox are the ones who actually develop this infection. This is because the reason behind the onset of chickenpox and shingles is no different. The virus that triggers chickenpox symptoms is the one that strikes again to cause shingles, and is typically marked by the development of an itchy rash, usually in the chest and the upper back area. The blisters forming a band like pattern is the characteristic feature of a shingles rash. The affected area typically causes radiating pain that generally lasts till the duration of the viral infection. The infection generally goes within a months time, but how does one make the pain more manageable during this time is often a cause for concern for all shingles patients. The answer to this question is discussed below:
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Spinal Cord Or Peripheral Nerve Stimulation
These are often used to treat several different types of neuropathic pain. Electrodes are placed underneath the skin along the affected peripheral nerves. Before using this technique, doctors will do a test using a wire electrode to get a sense of how the patient will respond.
After the electrodes have been placed above the peripheral nerve, a weak electrical current is sent to the nerve. By stimulating a sensory pathway that doesnt cause pain, experts believe that this electrical signal to the brain can trick the brain into turning off the painful signal, bringing relief to the patient.
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What Is The Outcome For Someone Who Has Shingles
Most people get shingles once, but its possible to get it again.
If you have a healthy immune system, the blisters tend to clear in 7 to 10 days. The rash tends to go away completely within 2 to 4 weeks. The pain may last longer, but usually stops in 1 or 2 months.
For some people, the pain will last longer than the rash. When it does, its called postherpetic neuralgia , which can come and go or be constant. PHN can last for months, years, or the rest of your life. Treatment can help reduce the amount of pain you feel.
Be sure to tell your doctor if you continue to have pain. Treatment can help you feel more comfortable.
For anyone who has a shingles rash, the right self-care can help ease your discomfort. Youll find out what dermatologists recommend at, Shingles: Self-care.
ReferencesCenters for Disease Control and Prevention . About shingles. Page last reviewed 10/17/2017. Last accessed 4/1/2019.
Dooling KL, Guo A, et al. Recommendations of the Advisory Committee on Immunization Practices for Use of Herpes Zoster Vaccines. Morb Mortal Wkly Rep 2018 67:103-8.
Madkan V, Sra K, et al. Human herpes viruses. In: Bolognia JL, et al. Dermatology. . Mosby Elsevier, Spain, 2008: 1204-8.
Straus SE, Oxman MN. Varicella and herpes zoster. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 1885-98.
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What Are Shingles Symptoms
Common symptoms of shingles are pain and a rash in a belt-like form that stops at the midline of the body affecting only one side. Symptoms of shingles progress from burning and itching sensations to severe pain at the location of the rash. Early shingles symptoms may include burning, tingling, or a numb sensation on the skin accompanied by headache, upset stomach, and chills.
Later stages include painful fluid-filled blisters that cause severe pain, fever, and severe itching.