Sunday, April 14, 2024

What Medication Helps With Shingles

How Can I Treat Shingles Naturally

New treatment for the pain of shingles

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:

How Common Is Shingles

Shingles is an infection of a nerve and the area of skin supplied by the nerve. It is caused by a virus called the varicella-zoster virus. It is the same virus that causes chickenpox. Anyone who has had chickenpox in the past may develop shingles. Shingles is sometimes called herpes zoster.

About 1 in 4 people have shingles at some time in their lives. It can occur at any age but it is most common in older adults . After the age of 50, it becomes increasingly more common as you get older. It is uncommon to have shingles more than once but some people do have it more than once.

How To Use Famciclovir

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

Take this medication by mouth with or without food, usually 2 to 3 times a day or as directed by your doctor.

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.

The dosage is based on your medical condition and response to treatment.

This medication works best when the amount of drug 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 times 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.

Also Check: How Do I Get The Shingles Vaccine

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 .

Can Other People Catch Shingles

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This one is confusing! You can catch chickenpox from other people, but you can’t catch shingles from other people. You only get shingles from a reactivation of your own chickenpox infection in the past.

So if you have shingles, and you come into contact with somebody else, they cannot ‘catch’ your shingles. But if they have never had chickenpox, it is possible that they could catch chickenpox from you.

To put it another way, no, you don’t ‘catch’ shingles. It comes from a virus hiding out in your own body, not from someone else. But if you have shingles, you may be infectious, as it is possible for people to catch chickenpox from you.

Only people who have never had chickenpox are likely to be at risk of catching chickenpox from your shingles. People who have had chickenpox should be immune from catching it again. If the rash is in a covered area of skin, the risk of anyone with whom you are not in close contact catching chickenpox is very low.

Read Also: What Cream Is Good For Shingles

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.

Can Shingles Be Prevented

There are 2 vaccines available to reduce the likelihood of developing shingles, Zostavax and Shingrix. If you are over 50, you can talk to your doctor about whether you need it. It is recommended for everyone over 60 and is given free of charge in Australia to people aged 70 to 79.

Vaccination will not guarantee that you will not get shingles, but it will reduce your chance of developing the condition. The vaccine used to protect against shingles is not the same as the vaccine used to protect against chickenpox. Read more about the chickenpox vaccine here.

Also Check: What Is The Best Doctor To See For Shingles

Questions To Ask Your Doctor

  • Ive had chickenpox. Am I at risk of developing shingles?
  • What is the best treatment for my shingles?
  • The pain from shingles isnt going away. What can I do to make myself more comfortable?
  • Im on treatment for shingles. When should I call my doctor if things dont get better?
  • I have shingles and my children havent had the chickenpox vaccine. Should I get them vaccinated?
  • Is the shingles vaccine right for me?
  • Are there any risks associated with the shingles vaccine?
  • Will my post-herpetic neuralgia ever go away?
  • If Ive never had the chickenpox, should I still get the shingles vaccination?

Whats The Difference Between Cream Lotion And Ointment

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Ointments, lotions, and creams are three types of substances you can apply to your skin to help manage shingles.

These topicals are similar, but there are slight differences in their makeup. The primary difference is the amount of water and oil they contain.

According to this 2016 primer, creams are made up of about equal parts oil and water and often have moisturizing properties. Theyre thicker than lotions but thinner than ointments.

Lotions are similar to creams, but they are made up mostly of water. They have less oil and have a thinner consistency. Because theyre thinner, your skin absorbs them more quickly. Some lotions are oil-free.

Ointments are the thickest of the three. They are made to stay on top of your skin instead of being absorbed immediately. Ointments are made up of at least 80 percent oil.

Recommended Reading: When Do Shingles Go Away

Mayo Clinic Minute: Learn More About Eye Shingles

Shingles is caused by the varicella-zoster virus the same virus that causes chickenpox. If you’ve had chickenpox, the virus can lie dormant in your body’s nerve tissue for years when suddenly it’s triggered by stress or a weakened immune system, and manifests as shingles. A shingles vaccine called Shingrix is recommended for anyone over 50. It helps prevent the disease and reduces the severity of symptoms.

Ophthalmic shingles is one particular version of the disease that can have some serious side effects that ultimately can cause permanent damage to your vision.

Watch: The Mayo Clinic Minute

Journalists: Broadcast-quality video is in the downloads at the end of this post. Please “Courtesy: Mayo Clinic News Network.” Read the script.

You’re probably familiar with shingles, a viral infection that causes a painful rash usually on the body’s torso. But did you know that shingles also can affect the eye?

“Shingles around the eye typically involves the skin of the forehead and the skin of the upper lid. It can also involve the side of the nose or the tip of the nose,” says Dr. Keith Baratz, a Mayo Clinic ophthalmologist.

The virus lies dormant for years, but, when triggered by stress or a weakened immune system, it travels along nerve pathways to the skin and usually affects only one side of the face.

“You can almost draw a line right down the middle of the forehead when you get the rash,” says Dr. Baratz.

Prevent Shingles Or Another Shingles Outbreak:

  • 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.

Recommended Reading: Is The Shingles Shot Covered By Medicare

General Measures To Alleviate Shingles Symptoms

Loose-fitting cotton clothes are best to reduce irritating the affected area of skin. Pain may be eased by cooling the affected area with ice cubes , wet dressings, or a cool bath. A non-adherent dressing that covers the rash when it is blistered and raw may help to reduce pain caused by contact with clothing. Simple creams may be helpful if the rash is itchy. Calamine lotion can help to cool the skin and reduce mild itchiness.

Treatment Of Pain After Shingles

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Treatment for people with PHN may include:

  • Nerve blocks: Local anesthetic or alcohol injected directly into the nerve affected
  • Thoracic epidural injections: Local injection in the space around the spinal cord
  • Antidepressant medications: Such as amitriptyline
  • Membrane stabilizers: Such as gabapentin
  • Capsaicinapplication: Topical cream applied to the affected area

Read Also: What To Put On Shingles Rash

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.

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?

Recommended Reading: How Do You Stop The Itching From Shingles

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.

Fighting Shingles With Medication

Mayo Clinic Minute: Don’t suffer with shingles

VSV is a type of herpes virus, and both shingles and chickenpox can be treated with antiviral medications. Most commonly, these medications include acyclovir , famciclovir or valacyclovir . These drugs are most effective when given within 24 to 72 hours after your shingles rash first appears. Antivirals can help the shingles blisters dry up faster, which cuts the length of time you experience shingles symptoms. They also reduce the pain you may experience and significantly reduce your chance of getting serious complications.

Some people experience little pain with shingles, but for most people shingles is a painful condition. If you have severe pain, your doctor may prescribe medication. You also may receive additional medication if you develop a painful complication called postherpetic neuralgia, which involves pain lasting weeks to months after the rash disappears. Some of these medication options include:

  • Anticonvulsants such as gabapentin
  • Tricyclic antidepressants, including amitriptyline
  • Numbing agents, such as lidocaine you can put on your skin via cream, gel, spray or patch
  • Capsaicin patch

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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.

    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.”

    Read Also: How Soon After Having Shingles Can You Get The Vaccine

    Treatment For Shingles Rash And Pain

    Medications and lifestyle changes can provide relief.

    Despite the availability of a highly effective vaccine, an estimated 1 million Americans develop shingles each year.1 Early diagnosis and treatment are key to limiting the severity of the outbreak as well as its associated complications, including nerve damage. There are also simple at-home remedies that can help patients stay as comfortable as possible.

    Antiviral medications should be started within 72 hours of the first shingles symptoms. The three antivirals most often prescribed are acyclovir, valacyclovir, and famciclovir. They help the shingles rash crust over, dry up, and heal, shortening the course of the infection.

    Pain is a major factor with shingles. Patients can consult with their health care provider on over-the-counter and prescription options to manage it. Nonsteroidal anti-inflammatory drugs like ibuprofen, naproxen, and acetaminophen can be effective, while prescription glucocorticoids such as prednisone can help with more aggressive pain. Short-term usage of opioid pain medicationlike oxycodone or hydrocodone/acetaminophen is reserved for the highest levels of pain.

    Shingles typically lasts between 2 and 6 weeks patients are usually confined to their home for the duration both for their own comfort and to prevent spreading the virus to others. There are a number of simple steps they can take to promote healing and increase their comfort level.

    References

    Natural Remedies For Shingles

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    Shingles is a viral infection that causes a painful rash. The varicella zoster virus causes this viral infection. Its the same virus that causes chickenpox.

    If you had chickenpox as a child, the shingles virus lies dormant in your body. The virus can reactivate later in life and cause a shingles rash. The rash can occur on any part of your body but typically only affects small sections.

    Pain is usually the first symptom of shingles. The rash and fluid-filled blisters form within a couple of days after the onset of pain. Some people with shingles also have a fever, sensitivity to light, and fatigue.

    According to the Centers for Disease Control and Prevention , about 1 in 3 people in the United States will develop shingles at some point in their lifetime.

    The shingles virus can last between two and six weeks. Shingles isnt life-threatening, but some people experience postherpetic neuralgia. This is when nerve fibers become damaged, causing shingles pain that lasts for weeks or months after the rash clears.

    Theres no cure for shingles, but your doctor can prescribe antiviral medication to help shorten the duration of the virus and reduce symptoms.

    Although an antiviral is an effective treatment for shingles, its not the only option. Several natural remedies may also reduce pain and discomfort.

    Dry your body completely and then wash your towel to avoid spreading the virus to others.

    • orange and yellow fruits

    Recommended Reading: Do You Need Shingles Vaccine If You Had Chickenpox Vaccine

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