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What Medication Is Prescribed For Shingles

What Complications Are There From Shingles

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

Complications are very rare, but they include:

  • Postherpetic neuralgia This is a condition where the nerve pain continues to trouble the person even after the rash is completely gone.
  • Skin infectionThe skin around the rash comes tender and inflamed because of a bacterial infection. In such cases, you may need a course of antibiotics.
  • Eye problemsIn rare cases, shingles of the eye can occur. If left untreated, the inflammation could even cause loss of vision. Seek medical help if you find it troubling your vision or makes your eye itchy.
  • WeaknessOccasionally, the affected nerve controls a motor function and not sensory. This could lead to weakness in the muscles affected by the nerve.
  • Various other rare complicationsThese are rare. The infection may spread to the brain or spread throughout the body as opposed to confining the rash to the area where the nerve supplies the skin. People with severely compromised immune systems are likely to develop complications.

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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.

Who Should Not Get Shingrix

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.

Recommended Reading: Where Can I Get My Shingles Shot

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.

Treatment For Shingles Rash And Pain

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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

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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:

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.

Recommended Reading: What Causes Shingles To Occur

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.

Can Shingles Be Prevented Or Avoided

New treatment for the pain of shingles

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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What Can I Do For The Pain

To help with the pain of shingles, your doctor might have you take an over-the-counter pain medicine. This could include acetaminophen or ibuprofen .

Applying a medicated anti-itch lotion to the blisters might reduce the pain and itching. Placing cool compresses soaked in water mixed with white vinegar on the blisters and sores might also help.

If shingles causes severe pain, your doctor might prescribe a stronger pain medicine.

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

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Are There Alternative Treatments

Some studies show that various alternative treatments, from acupuncture to supplements, can offer relief. The research isnât complete, but some shows promise. Check with your doctor before you try any of these:

TENS . This therapy uses tiny electrical pulses to relieve pain. A TENS unit is about the size of a smartphone and comes with small patches called electrodes. You put them over the painful area and turn the unit on and off as your pain comes and goes.

Traditional Chinese medicine: These treatments aim to restore balance in your body. They include acupuncture, the ancient practice of inserting very thin needles into your skin at specific points. Also, moxibustion and cupping, two types of heat therapy, are supposed to draw out toxins. These treatments may be done in combination.

Creams and other skin treatments: A mixture of liquid dimethyl sulfoxide and idoxuridine, an antiviral drug, may reduce swelling and the number of blisters you have when you put it on your rash. And chlorophyll, the chemical that gives plants their green color, is also used directly on the rash as a cream or saline solution.

Supplements: Youâll find a long list of herbs, pills, and oils that claim to relieve shingles. Most have no research to back them up, but there are a couple of exceptions. Papain, a protein found in papayas, is sold in capsules. And manuka and clover honeys can be put directly on your skin. Very early studies on both show they may be helpful.

What Are The Possible Side Effects Of Shingrix

Painful Skin Itching, Rash Relief Cream Shingle Solution, Maximum ...

Studies show that Shingrix is safe. The vaccine helps your body create a strong defense against shingles. As a result, you are likely to have temporary side effects from getting the shots. The side effects might affect your ability to do normal daily activities for 2 to 3 days.

Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Some people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. Some people who got Shingrix experienced side effects that prevented them from doing regular activities. Symptoms went away on their own in about 2 to 3 days. Side effects were more common in younger people.

You might have a reaction to the first or second dose of Shingrix, or both doses. If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen.

Guillain-Barré syndrome , a serious nervous system disorder, has been reported very rarely after Shingrix. There is also a very small increased risk of GBS after having shingles.

If you experience side effects from Shingrix, you should report them to the Vaccine Adverse Event Reporting System . Your doctor might file this report, or you can do it yourself through the VAERS websiteexternal icon, or by calling 1-800-822-7967.

If you have any questions about side effects from Shingrix, talk with your doctor.

Read Also: Does Acupuncture Help Shingles Nerve Pain

What To Expect From Your Doctor

Your health care provider is likely to ask you several questions, such as:

  • When did your symptoms begin?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Do you know if you’ve ever had chickenpox?

How Long Does It Take For Shingles To Progress

Shingles progresses into blisters over three to five days and begins to crust over after seven to ten days. The rash is preceded by a prodromal phase lasting 48-72 hours or longer, consisting of throbbing pain and numbness in the area affecting the nerve. Once the rash blisters, it can last another three to five days before the lesions scab over.

After the lesions crust over, it may take two to four weeks to heal completely. At this time, pain may still be present. The most painful stage of shingles is when you have fluid-filled blisters. This usually occurs three to five days after the rash first appears.

Also Check: How To Treat Shingles At Home

How Long Is Shingles Contagious

The varicella-zoster virus is contagious and can be spread from someone who has chickenpox or shingles. Although shingles is a lifelong disease, it is only contagious for some time during each episode. Shingles is contagious from the time your symptoms appear until the time that your blisters have dried or crusted, which usually happens within seven to 10 days of symptoms appearing. As long as the blistered area is covered and hands are clean the spread is contained.

Shingles On Your Buttocks

Shingles: What You Should Know | Johns Hopkins Medicine

You can get a shingles rash on your buttocks. Shingles usually only affects one side of your body, so you may have a rash on one buttock but not the other.

As with other areas of the body, shingles on your buttocks may cause initial symptoms like tingling, itching, or pain.

After a few days, a red rash or blisters may develop. Some people experience pain but dont develop a rash.

. After the varicella-zoster virus initially reactivates, your skin may:

Shingles usually develops on one side of your body, often on your waist, back, or chest.

Within about 5 days, you may see a red rash in that area. Small groups of oozing, fluid-filled blisters may appear a few days later in the same area. You may experience flu-like symptoms such as a fever, headache, or fatigue.

During the next 10 days or so, the blisters will dry up and form scabs. The scabs will clear after a couple of weeks. After the scabs clear, some people continue to experience pain. This is called postherpetic neuralgia.

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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.

How Is Shingles Treated

Shingles cannot be cured. The following medicines can decrease your pain and help prevent complications:

  • Antiviral medicine fights the virus causing your shingles. Start this medicine within 3 days after you notice the first symptoms. This may help prevent nerve pain. A shingles outbreak can cause nerve pain called post-herpetic neuralgia . PHN can last a long time after you heal from shingles.
  • Topical anesthetics are used to numb the skin and decrease pain. They can be a cream, gel, spray, or patch.
  • Anticonvulsants and antidepressants decrease nerve pain and may help you sleep at night.
  • Antihistamines may help decrease itching.
  • Acetaminophen decreases pain and fever. It is available without a doctor’s order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor’s order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • A steroid and numbing medicine injection may decrease severe pain that does not get better with other medicines.

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