Wednesday, July 10, 2024

What Is The Best Medicine For Shingles

How Long Does Shingles Last

New treatment for the pain of shingles

The shingles virus lasts a lifetime. However, it may remain inactive for many years at a time. A shingles attack or episode may last between two and four weeks. Here is an average timeline:

  • Pain begins on a specific area of one side of the body or face.
  • A red, blotchy rash appears within five days.
  • The rash blisters. These blisters may merge and form a solid band of inflammation.
  • New blisters may form throughout a weeks time.
  • Blisters will eventually dry and scab after seven to 10 days. Minor scarring is possible.
  • 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.

    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.

    Recommended Reading: What Does The Start Of Shingles Look Like

    Where Does Shingles Come From

    When you have chickenpox as a child, your body fights off the varicella-zoster virus and the physical signs of chickenpox fade away, but the virus always remains in your body. In adulthood, sometimes the virus becomes active again. This time, the varicella-zoster virus makes its second appearance in the form of shingles.

    Who Should Not Get Shingrix

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    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: Does Shingles Nerve Pain Ever Go Away

    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.

    What Are The Symptoms Of Shingles

    The initial symptoms of shingles include:

    • a burning, tingling or itching sensation
    • a stabbing sensation
    • numbness in the affected area of the body
    • sensitivity to light
    • fever and/or headache

    Two to 3 days after these symptoms appear, a painful rash will appear on the sensitive area of skin, usually on one side of the body in the area of one skin nerve .

    At first this rash consists of painful red bumps that quickly develop into fluid-filled blisters, which will eventually have a crusty surface. The rash can last for 10 to 15 days.

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    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.”

    What Are Common Side Effects Of Shingles Medication

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

    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.

    Also Check: What Helps With Shingles Itching

    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.

    Rebooting The Nervous System

    Its like restarting a computer, Dr. Rosenquist says. When its running slowly or acting weird, you restart it. We are trying to turn that nerve off. When it comes back on, hopefully, it will send an appropriate transmission as opposed to a pain transmission.

    Treatmentoptions for PHN patients include:

  • Intercostal nerve blocks: A local anesthetic can be injected between two ribs.
  • Thoracic epidural injections: Anti-inflammatory medicine can be injected into the space around the spinal cord to decrease nerve root inflammation and reduce pain.
  • Tricyclic antidepressants: Medications such as amitriptyline may be used to relieve pain.
  • Membrane stabilizers: Medications such as gabapentin can be used to reduce the pain associated with PHN.
  • Capsaicin cream: This topical cream can be applied to the affected area to relieve pain temporarily.
  • Patientswith refractory PHN rarely need opioid pain medication. However,you should be evaluated by a physician. We cant make a blanket statement abouttreatment. It is individualized, she says.

    Read Also: Does Shingles Give You A Headache

    Who Should Be Vaccinated With Shingrix

    The Shingrix vaccine is recommended for those 50 years of age and older who are in good health.

    You should get the Shingrix vaccine even if:

    • Youve had shingles already.
    • Youve been previously vaccinated with Zostavax . If youve been vaccinated with Zostavax, wait at least eight weeks before getting vaccinated with Shingrix.
    • You dont know for sure if youve ever had chickenpox.

    Ask your healthcare provider, who knows your entire health history if getting this vaccine is right for you.

    If You Have More Than One Area Of Blisters What Can You Expect If You Go To The Hospital

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    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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    How To Use Valacyclovir

    Read the Patient Information Leaflet if available from your pharmacist before you start taking valacyclovir and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

    Take valacyclovir by mouth, with or without food, as directed by your doctor. Drink plenty of fluids while taking this medication to lower the chance of side effects.

    The dosage and length of treatment are based on your type of infection, medical condition, and response to treatment. For treating chickenpox in children, the dosage is also based on weight.

    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.

    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.

    Read Also: What Are The Different Types Of Shingles

    Eutectic Mixture Of Local Anesthetics Cream

    EMLA cream is a prescription medication made up of a 1-to-1 ratio of 2.5 percent lidocaine and 2.5 percent prilocaine.

    A 2018 case study of one person found that EMLA cream may make an effective alternative to lidocaine cream for treating PHN in people with special situations like kidney failure. However, theres not much available research about its effectiveness. Most existing research is from the 1980s and 90s.

    A doctor can give you specific instructions on how to use EMLA cream.

    What Everyone Should Know About The Shingles Vaccine

    How to treat shingles

    Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia , the most common complication from shingles.

    CDC recommends that adults 50 years and older get two doses of the shingles vaccine called Shingrix to prevent shingles and the complications from the disease. Adults 19 years and older who have weakened immune systems because of disease or therapy should also get two doses of Shingrix, as they have a higher risk of getting shingles and related complications.

    Your doctor or pharmacist can give you Shingrix as a shot in your upper arm.

    Shingrix provides strong protection against shingles and PHN. In adults 50 years and older who have healthy immune systems, Shingrix is more than 90% effective at preventing shingles and PHN. Immunity stays strong for at least the first 7 years after vaccination. In adults with weakened immune systems, studies show that Shingrix is 68%-91% effective in preventing shingles, depending on the condition that affects the immune system.

    Read Also: Do’s And Don Ts When You Have Shingles

    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.

    Terrasil Shingles Treatment Cream

    Terrasil shingles cream may provide relief from itchy and painful shingles rashes.

    It contains all-natural ingredients that may appeal to people looking to avoid putting synthetic chemicals on their skin. In addition to cottonseed oil and beeswax, it contains activated minerals.

    There are claims the minerals can help clear the skin, but there is no evidence of this. Of nearly 1,700 users on , the product earns a 4.3 out of 5 star rating, with many users indicating that the product works well for them.

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    Shingles And Your Eyes

    If the shingles rash breaks out on the face, near the eye, the vision may be affected. An ophthalmologist should be consulted right away when pain or other symptoms of shingles affect the eye or the area near the eye.

    Shingles painand other symptoms from an outbreak of herpes zosterusually lasts between three to five weeks. Most people experience shingles once, but in some instances, people will continue to experience pain. When this happens, its called postherpetic neuralgia .

    What To Do If You Think You Have Shingles

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    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.

    Read Also: Can You Show Me What Shingles Look Like

    Urgent Advice: Get Advice From 111 As Soon As You Suspect Shingles

    You might need medicine to help speed up your recovery and avoid longer-lasting problems.

    This works best if taken within 3 days of your symptoms starting.

    111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.

    Go to 111.nhs.uk or .

    Get an urgent GP appointment

    A GP may be able to treat you.

    Ask your GP surgery for an urgent appointment.

    How Long Does A Shingles Outbreak Last

    It can take three to five weeks from the time you begin to feel symptoms until the rash totally disappears.

  • First, a few days before the rash appears, you may feel pain in an area on your skin. The pain is described as itching, burning, stabbing or shooting. This usually happens before the rash comes.
  • Next, the raised rash appears as a band or a patch, usually on one side of your body. The rash usually appears around your waistline or on one side of your face, neck, or on the trunk , but not always. It can occur in other areas including your arms and legs.
  • Within three to four days, the rash develops into red, fluid-filled, painful, open blisters.
  • Usually, these blisters begin to dry out and crust over within about 10 days.
  • The scabs clear up about two to three weeks later.
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    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.

    Can You Get Shingles If You Havent Had Chickenpox

    Shingles: What Are the Causes and Best Treatments?

    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.

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