Can I Prevent Shingles
There are two shingles vaccines. Shingrix is recommended over the older vaccine, Zostavax, because it is more than 90% effective in preventing a shingles outbreak
Who should get it: The CDC recommends that you get this vaccine if youâre a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. If you have had the Zostavax vaccine, you can also have Shingrix.
How many shots do you need? You would need two shots for Shingrix: One at first, with a follow-up in 2 to 6 months.
What it does:Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.
I never had chickenpox. Do I still need the shingles vaccine? Yes, you do. Shingrix is recommended for everyone age 50 or older, whether or not you remember having had chickenpox.
If Iâve had shingles, can I still get the vaccine? Yes. It may help prevent you having another bout of shingles later on. If you have shingles right now, you should wait until the rash is gone before you get vaccinated.
Donât get the Shingrix vaccine if you:
- Are allergic to any of the ingredients
- Are pregnant or nursing
- Have tested negative for immunity to the chickenpox virus. Ask your doctor about the chickenpox vaccine instead.
- Have shingles now
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
Tips For Managing Shingles
Helping Herpes zoster patients feel more comfortable
Prompt treatment of Herpes zoster with antiviral and pain medications within 72 hours of the rashs onset can help shorten its duration and reduce complications. But what can patients do to deal with the burning, tingling, numbness, and itching that accompany the rash? Here are a few ideas pharmacists can share with them.
1. Relieve Physical Symptoms
A healing oatmeal bath using cool water, or the application of cool compresses or ice packs, can help calm the itch. Allow the skin to air dry before covering the blisters with a light application of calamine or unscented lotion.
Tell patients not to open the blisters, which can cause permanent scarring. They should cover the rash with nonstick sterile bandages. Alternatively, the patient can wear loose-fitting, natural fiber clothing to allow the skin to breathe.
San Francisco board-certified dermatologist Marie Jhin, MD prescribes gabapentin for nerve pain. If its really painful, we give oral steroids or even a shot of steroids. A lidocaine or capsaicin patch can also help, she says.
2. Reduce Stress
Physical and emotional stress can weaken the immune system and act as a trigger for shingles. Stress can also cause a patient to feel the physical symptoms more intensely and suppress the immune system, delaying recovery and leading to serious complications like postherpetic neuralgia.
3. Improve Diet
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What To Do If You Think You Have Shingles
If you suspect that you have shingles, its important to visit a healthcare professional as soon as possible. According to the American Academy of Dermatology , treating shingles within the first 72 hours gives you the best chance of minimizing complications like nerve pain.
Antiviral medications or other medications only available by prescription can shorten the duration of your shingles or lessen the severity.
If a cream or other topical isnt reducing your pain, its a good idea to visit your doctor again. They may recommend trying another treatment like capsaicin cream instead of lidocaine.
If a product is making your symptoms worse, its important to stop taking it right away.
You may be able to reduce your symptoms using home remedies while youre waiting to see a healthcare professional. These include applying a wet cold compress or taking a cool bath.
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Am I At Risk For Shingles
Everyone who has had chickenpox is at risk for developing shingles. Researchers do not fully understand what makes the virus become active and cause shingles. But some things make it more likely:
- Older age. The risk of developing shingles increases as you age. About half of all shingles cases are in adults age 60 or older. The chance of getting shingles becomes much greater by age 70.
- Trouble fighting infections. Your immune system is the part of your body that responds to infections. Age can affect your immune system. So can HIV, cancer, cancer treatments, too much sun, and organ transplant drugs. Even stress or a cold can weaken your immune system for a short time. These all can put you at risk for shingles.
Most people only have shingles one time. However, it is possible to have it more than once.
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These Home Remedies Should Provide Relief During A Case Of Shingles
The editors at Health are a dedicated team of experienced health editors, writers, and other media professionals who strive to bring trustworthy and responsible health and medical content to their readers. As a team, we have decades of experience in health journalism and have worked at legacy publishers and some of the biggest news and media companies in the U.S.
Anyone who had chickenpox as a kid remembers the red, painfully itchy blister-like rash, and perhaps the fever and fatigue that came along with it. But even though its true youre now inoculated against chickenpox for life, theres one pox-related complication you may not have considered: Shingles.
Shingles is a reactivation of the chickenpox virus , and causes a painful, itchy rash in one place on the body. Shingles is most common in adults over 50 years of age in fact, about half of people over age 80 may experience it.
Shingles often begin as pain and itching in the skin before a red rash appears one to two days later, with small, water-filled blisters. These blisters soon rupture and scar over, healing and fading over the course of a few weeks. This process can be extremely uncomfortable and painful, making even the littlest actions difficult.
Heres how to minimize discomfort and pain with stuff you probably already have at home:
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What You Need To Know:
Shingles is a painful rash. Shingles is caused by the same virus that causes chickenpox . After you get chickenpox, the virus stays in your body for several years without causing any symptoms. Shingles occurs when the virus becomes active again. The active virus travels along a nerve to your skin and causes a rash.
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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 havent had chickenpox before.
e.g. lidocaine preparations , capsaicin cream
- topical pain relievers can be used in addition to oral pain relief medicines
- lidocaine is a local anaesthetic and numbs the skin
- do not apply lidocaine to broken or irritated skin avoid contact with eyes
- capsaicin cream should NOT be used on active shingles and may only be used to help with post-herpetic neuralgia . It should be discontinued if symptoms persist for longer than 2 weeks
- do not apply capsaicin cream to broken or irritated skin avoid contact with eyes
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What Is Shingles And Who Can Get It
Shingles is another name for a condition called herpes zoster. It causes a painful rash. You can only get shingles if you had chickenpox in the past.
After you have chickenpox , the virus that causes it stays in your body, in certain nerve cells. Most of the time your immune system keeps the chickenpox virus in these cells. As you get older or if your immune system gets weak, the chickenpox virus may escape from the nerve cells and cause shingles.
Most people who get shingles are more than 50 years old or have a weak immune system. For example, you might get shingles if you have cancer, take medicines that weaken your immune system or have the virus that causes AIDS .
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What Are The Complications Of Shingles
Symptoms of shingles usually dont last longer than 3 to 5 weeks. However, complications can happen. The main complications that can result from shingles include:
- Postherpetic neuralgia . The most common complication of shingles is called postherpetic neuralgia . This continuous, chronic pain lasts even after the skin lesions have healed. The pain may be severe in the area where the blisters were present. The affected skin may be very sensitive to heat and cold. If you had severe pain during the active rash or have impaired senses, you are at increased risk for PHN. The elderly are also at greater risk. Early treatment of shingles may prevent PHN. Pain relievers and steroid treatment may be used to treat the pain and inflammation. Other treatments include antiviral drugs, antidepressants, anticonvulsants, and topical agents.
- Bacterial infection. A bacterial infection of the skin where the rash happens is another complication. Rarely, infections can lead to more problems, such as tissue death and scarring. When an infection happens near or on the eyes, a corneal infection can happen. This can lead to temporary or permanent blindness.
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Hearing Loss And Facial Weakness
Complications of herpes zoster oticus and Ramsay Hunt syndrome might include hearing loss and facial weakness. For most people, these are temporary symptoms, but it is possible for the damage to become permanent, especially if shingles is left untreated.
Ramsay Hunt syndrome accounts for up to 12% of facial paralysis. In some cases, it has a worse outcome than Bells palsya condition that causes temporary weakness in the muscles of the face.
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What Problems Can Happen
Most cases of shingles heal on their own, with or without treatment, and wont lead to any other problems. In rare cases, shingles can lead to complications, including:
- Ongoing pain : Damaged nerve fibers in the skin send confused messages to the brain, leading to pain. Pain can go on for a long time after the shingles rash is gone. This is the most common shingles complication.
- Vision problems: Shingles near or in an eye can lead to vision loss.
- Skin infections: A shingles rash can become infected with bacteria, leading to impetigo or cellulitis.
- Nervous system problems: Shingles on the face can involve different nerves that connect to the brain. This can lead to nerve-related problems such as facial paralysis, hearing problems, and problems with balance. In very rare cases, shingles can lead to encephalitis .
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Why We Are Verifying
A VERIFY viewer sent the team this message:
In the February 2021 AARP magazine is an article on covid. On page 14 it says we should not take fever reducing meds like aspirin, acetaminophen or ibuprofen because they could reduce the effectiveness of vaccines by interfering with the immune response. Their referring doctor Offit says not to take these anti fever drugs around the time of the vaccine. If this is true why arent we being educated about this. Its interesting.
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Are There Any Home Remedies For Shingles
Care of the skin rash can be provided at home, and this can offer some symptom relief.
- Topical calamine lotion can be applied to the rash in order to decrease itching.
- Cool wet compresses against the painful rash can sometimes be soothing, and for some individuals, a compress with aluminum acetate solution may also be helpful.
- For some, colloidal oatmeal baths may also provide relief from the itching.
- It is important to maintain good personal hygiene, avoid scratching the rash, wear loose-fitting clothes, and try to keep the affected area clean in order to prevent secondary bacterial infection of the skin.
- The rash should be covered to decrease the risk of transmissibility should you come into contact with susceptible individuals.
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Avoid Scratching The Blisters
It might be tempting to scratch or pick at the blisters, especially if theyre causing you discomfort. Know that theyll eventually crust over and fall off if you leave them alone.
Scratching at blisters or scabs can lead to infection and scarring. Cleaning and covering them regularly with a new sterile bandage can help reduce the likelihood that youll pick at the rash.
Keeping the rash clean is one part of the process. The other is to make sure you bandage it properly, especially if the rash is still weeping .
When dealing with a painful shingles rash, your best bet is to use bandages that are:
When youre switching the dressing, allow the skin to dry before covering it with a new bandage.
In addition to keeping the rash protected, bandaging also prevents you from passing the varicella-zoster virus to another person. Be sure to keep bandages on any areas of the rash that havent scabbed over yet.
While shingles isnt contagious, the virus that causes it can be passed to anyone who hasnt had chickenpox or the chickenpox vaccine. If they come into skin-to-skin contact with the fluid that oozes from a shingles blister, they could end up with chickenpox, according to
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When Should I Get The Shingles Vaccine
The current shingles vaccine is a safe, easy, and more effective way to prevent shingles than the previous vaccine. In fact, it is over 90% effective at preventing shingles. Most adults age 50 and older should get vaccinated with the shingles vaccine, which is given in two doses. You can get the shingles vaccine at your doctors office and at some pharmacies.
You should get the shingles vaccine if you:
- Have already had chickenpox, the chickenpox vaccine, or shingles
- Received the prior shingles vaccine called Zostavax
- Dont remember having had chickenpox
Medicare Part D and private health insurance plans may cover some or all of the cost. Check with Medicare or your health plan to find out if it is covered.
You should not get vaccinated if you:
- Currently have shingles
- Are sick or have a fever
- Had an allergic reaction to a previous dose of the shingles vaccine
If you are unsure about the above criteria or have other health concerns, talk with your doctor before getting the vaccine.
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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Natural Remedies To Relieve Shingles Pain Outbreaks
Shingles pain can be excruciating. Thankfully, most people who experience a shingles outbreak only do so one time. However, others have recurrences. There is no cure for shingles, but there are antiviral medications that can speed the healing process. Shingles vaccination also is available to adults aged 50 and older to help prevent initial outbreaks among those at the highest risk for them.
Modern medicine is not the only solution for treating shingles pain and preventing future outbreaks. Naturopaths and doctors agree that natural treatments for shingles can help with both discomfort and relapses. If youre among the people who prefer natural alternatives for treating common conditions, this article provides information on the most effective natural treatments for shingles.
What Causes Shingles?
Shingles is a viral infection caused by the varicella zoster virus . It is the same virus that causes chickenpox. Individuals who recover from chickenpox can have the virus lay dormant in their systems for years. Doctors dont know why, but roughly 1 out of every 3 people who had chickenpox later have the virus reactivate as shingles.
How Common is Shingles?
For 1 out of 10 people, nerve pain postherpetic neuralgia can last for months or even years after the initial outbreak. It is one of the most common shingles complications. Age increases the risk of developing postherpetic neuralgia.
Can You Get Shingles More Than Once?
Doctor Recommendations for Shingles