What Is The Best Medication For Shingles Nerve Pain

Opt For Otc Pain Relievers

Over-the-counter options like Tylenol can ease the discomfort of shingles rash and even mild PHN. At least for early pain, we often use non-steroidal anti-inflammatory drugs , like ibuprofen or naxopren, Dr. Auwaerter notes. Theyre easy to pick up at any drugstore, but theyre not always ideal for frequent and/or long-term use. NSAIDs can cause stomach irritation and stomach ulcers, and can harm the kidneys unless taken with large volumes of water. If you experience abdominal pain or constipation, ask your doctor to help you find another option.

Topicals Are Not A Substitute For Medical Treatment

Topical products can help you manage your symptoms. But they arent a substitute for proper medical treatment.

Its important to visit your doctor if youre dealing with shingles. Your doctor can prescribe antiviral drugs and other medications that can shorten the duration of your infection and help you avoid severe complications.

The following creams may be able to help you manage shingles symptoms.

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.

Also Check: Pictures Of Shingles On Hand

Who Gets Postherpetic Neuralgia

About 1 out of 5 people who have shingles will have these sharp, ongoing pains afterward. Certain things can increase your chances of getting it:

• Age: Most people who get postherpetic neuralgia are older than 60.
• Gender: Women seem to get it more than men.
• Early symptoms: People who have numbness, tingling, or itching before a shingles rash even appears tend to get the lingering pain later.
• Pain at the start: If you had severe pain or a rash during the beginning of your outbreak, you have a greater chance of the neuralgia later.
• Other health problems: People with ongoing conditions that can weaken the immune system, like HIV and cancer, seem more likely to get it.

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.

Also Check: Shingles On The Hand Pictures

Are There Other Ways To Ease The Pain

Most people with postherpetic neuralgia use medication to control their symptoms. But there are other ways to control the pain, too. They include:

TENS : You use a device that shoots tiny electrical currents into the area of pain on the skin. This helps block the pain.

Cold packs: Try a gel-filled one to numb the area unless cooler objects make your neuralgia worse.

Comfortable clothes: Go for looser fits and fabrics such as cotton and silk.

How To Treat Nerve Pain Caused By Shingles

This article was medically reviewed by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support , Emergency Medicine, Advanced Cardiac Life Support , Team Building, and Critical Care Nursing. She received her Master of Science in Nursing from the University of Tennessee in 2006.There are 31 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 84% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 91,132 times.

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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 Do Dermatologists Diagnose Shingles

A dermatologist can often diagnose shingles by looking at the rash on your skin.

If there is any question about whether you have shingles, your dermatologist will scrape a bit of fluid from a blister. This will be sent to a lab where a doctor will look at the fluid under a high-powered microscope.

When you have shingles, the fluid contains the virus that causes shingles. Seeing the virus confirms that you have shingles.

Your dermatologist will also ask about your symptoms. Shingles tends to be painful.

When the shingles rash spreads to an eye, it can affect your eyesight

You can reduce this risk by seeing an ophthalmologist immediately.

Also Check: Should I Get Shingles Vaccine If I Already Had Shingles

Steroids Can Sometimes Help

Dr. Auwaerter notes that some older research done in the early 2000s supports the use of the steroid prednisone taken with an antiviral for short-term shingles pain relief, as well as a decreased risk of developing the more serious PHN. Steroids may be especially beneficial for people over 50, who are at higher risk for PHN. However, they can increase your risk of immunosuppression over time, so theyre generally used for shingles for just one to two weeks. If youre trying this approach, work closely with your doctor to manage the appropriate dosing.

How Can I Treat Shingles Naturally

The shingles virus affects the nerves, which is why a skin rash only appears in a specific area of the body rather than all over. However, nerve pain is still possible even after the shingles rash has disappeared. If the nerve fibers are damaged, they are unable to send messages from your skin to your brain. This complication of shingles is called postherpetic neuralgia and it can cause severe pain, lasting months or even years.

Postherpetic neuralgia is more common in the following patients:

• Adults over the age of 50
• Patients with another medical condition, like diabetes
• Those who experienced a severe shingles rash
• Those who experienced a shingles rash on the face or torso
• Patients who didnt begin shingles treatment within 72 hours of symptoms appearing

Besides chronic pain, symptoms of postherpetic neuralgia include depression, insomnia, suppressed appetite, and attention deficits. Fortunately, there are home remedies, over-the-counter products, and prescription medications that offer pain relief to these symptoms. Heres a long list of treatments:

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Who Is At Risk Of Getting Postherpetic Neuralgia

Factors that increase the risk of developing postherpetic neuralgia include:

• Older age: The chance of developing postherpetic neuralgia increases with age. If youre older and develop shingles, youre more likely to develop PHN and have longer lasting and more severe pain than a younger person with shingles. About 10 to 13% of people over age 50 who have had shingles will get PHN. People under age 40 rarely get PHN.
• Weakened immune system: Your immune system weakens as you get older, which allows the inactive varicella-zoster virus to become active again and cause shingles in some people. Medical conditions that can weaken your immune system include cancer, chronic infectious diseases , being an organ transplant recipient or taking medications that weaken your immune system .
• Severity of your shingles: If you have a severe rash, you have a greater chance of PHN.
• Painful, itchy or tingly feeling before shingles rash: If you had these symptoms in an area of skin a few days before your shingles rash broke out, you are at higher risk of PHN.
• Waiting to see your healthcare provider after shingles rash: If you wait longer than three days after your rash appeared missing the window to receive antiviral drugs you have an increased chance of PHN.

What You Can Do About Nerve Pain That Lingers After Shingles

Chronic pain that continues after a case of shingles is called postherpetic neuralgia . It is estimated that about 20% of patients will experience this type of nerve pain as a complication of shingles.

Those who have had chickenpox are at risk of developing shingles later in life. People who develop PHN are generally age 60 and older. Although there is no cure for PHN, there are several methods of pain management that can ease symptoms. Fortunately, the type of pain that arises from postherpetic neuralgia improves over time.

Neuralgia affects the nerves, causing structural and functional damage. It can feel like a stabbing or burning pain that radiates along the affected nerve.

Neuropathic pain is not caused by an external injury or stimuli but originates from inside the nervous system. When the herpes-varicella zoster virus is reactivated in the form of shingles, scar tissue forms alongside nerves, creating pressure, and sending pain signals to the brain.

Recommended Reading: Where Can You Get Shingles

Can You Get Fired For Taking Cbd Oil

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What Increases The Risk Of Long

The risk of developing post-herpetic neuralgia increases with age. Four weeks after getting shingles,

• 27% of 55- to 59-year-olds and
• 73% of over 70-year-olds had nerve pain.

Women seem to be more likely to have longer-lasting nerve pain than men. Post-herpetic neuralgia is also more likely to develop if your eyes were affected by shingles.

Recommended Reading: Beginning Of Shingles Rash Images

Why Does Postherpetic Neuralgia Happen

Postherpetic neuralgia starts out with a very familiar illness: chickenpox. The virus that causes it is called varicella-zoster. Once chickenpox has run its course, the virus âhides outâ in your nervous system.

Doctors arenât sure exactly why, but sometimes the virus reactivates decades later and travels along pathways to your skin. A painful, blistering rash can erupt. Thatâs shingles.

In some cases, shingles can damage your nerves so that they canât send messages from your skin to your brain as they usually do. That scramble of signals can trigger the ongoing pain of neuralgia.

If the pain lasts more than a year, it can become permanent.

What If You Have Shingles Around Or In Your Eye

Community Eye Health

If shingles are in the eye, they most often show up inside the eyelid and on the surface or the eyeball, says Rebecca Taylor, MD, an ophthalmologist with Nashville Vision Associates in Tennessee.

On the surface, says Dr. Taylor, they mainly show up on the cornea, which is the clear dome of tissue that covers your iris , and the conjunctiva the clear tissue that covers the whites of your eye and the inside of your eyelid.

If shingles is in these places, she says, youll be prescribed eye drops with steroids to calm the lesions, and lubricating tears for comfort.

If you have had shingles in your eye, says Taylor, your eye doctor will monitor you for 3 to 12 months to make sure that your eye is returning to health and that no new developments have occurred. You may also be encouraged to have a yearly eye exam until otherwise instructed by your eye doctor.

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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.

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.

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Recommended Reading: How Does Shingles Look Like

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 Is Postherpetic Neuralgia Diagnosed

Postherpetic neuralgia is usually diagnosed based on your symptoms, history of having shingles and physical exam. If youve had a recent case of shingles and have pain in the area where the shingles rash once was, you likely have PHN. Your provider may want to make sure your pain is not caused by something else, but in most cases, no other tests are needed.

Recommended Reading: How Long Does The Shingles Vaccine Last

What Is The Best Medication For Shingles

Your healthcare provider will determine the best medication for your case of shingles based on your symptoms, medical history, and response to shingles treatment. Heres an overview of the popular shingles medications that your doctor may prescribe.

Dosage is determined by your healthcare provider based on your medical condition, response to treatment, age, and weight.

Other possible side effects exist. This is not a complete list.

What Is The Best Medication For Pain Relief Of Shingles

Question posted by jtomrai1 on 24 April 2010

Last updated on 14 February 2012 by ashokamin

ashokamin

I am taking additional 50mg ASPIRIN at interval of 3 hrs and no pain.I dont know I am doing right but my doctor allowed such small dose of aspirin along with Gabapentin keeping interval of 3 hrs.

click on the drug name for detailed information.

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