Sunday, April 14, 2024

What To Expect With Shingles

When Should I See A Doctor Because Of The Side Effects I Experience From Shingrix

Shingles: Pathophysiology, Symptoms, 3 stages of Infection, Complications, Management, Animation.

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.

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.

Tingling Pain Or Numbness

During the first stage of shingles, before anything appears on your skin, a particular area of your body may begin to feel different. When a shingles outbreak is starting, you may feel itching, burning, or pain,” Kim says. Often you will feel this on only one side of your body.

The initial signs of shingles may feel different for each person. In some cases, shingles can cause intense sensitivity, making it painful to even wear clothes over your skin, while in other cases, your skin may feel numb.

Recommended Reading: What’s The First Sign Of Shingles

Discuss How Prevention Can Improve Your Health

Doctors and other health professionals may suggest you change your diet, activity level, or other aspects of your life to help you deal with medical conditions. Research has shown that these changes, particularly an increase in exercise, have positive effects on overall health.

Until recently, preventing disease in older people received little attention. But, things are changing. We now know that its never too late to stop smoking, improve your diet, or start exercising. Getting regular checkups and seeing other health professionals, such as dentists and eye specialists, helps promote good health. Even people who have chronic diseases, like arthritis or diabetes, can prevent further disability and, in some cases, control the progress of the disease.

If a certain disease or health condition runs in your family, ask your doctor if there are steps you can take to help prevent it. If you have a chronic condition, ask how you can manage it and if there are things you can do to keep it from getting worse. If you want to discuss health and disease prevention with your doctor, say so when you make your next appointment. This lets the doctor plan to spend more time with you.

How To Treat And Prevent Shingles

TruDefinition® Duration® COOL Shingles

Shingles is treated using antiviral medications, such as:

    To manage shingles pain, you can also use numbing creams like lidocaine, or place a cool, wet washcloth on your skin.

    It’s important to get treatment as quickly as possible because, “people with shingles can develop long-term pain or itch after the shingles resolves if the virus does too much damage,” Kim says.

    To stop yourself from spreading varicella-zoster to anyone else, try to cover up your rash when possible and avoid directly touching it.

    The best way to prevent shingles is to get a shingles vaccine. The newest vaccine, called Shingrix, is 85% to 90% effective at preventing shingles in people who have already had chickenpox. If you have never had chickenpox, you will need to get the chickenpox vaccine instead.

    Read Also: What Does The Shingles Vaccine Do

    The Temporary Discomfort Is Worth The Long

    I finally got my first dose of the shingles vaccine Shingrix. I had been trying to get the vaccine for close to a year, and it had been unavailable. The pharmacist warned me that I might feel like I had the flu, get chills, and find that my arm at the site of the injection was painful. She wasnt

    Shingles Affects The Nerves

    The shingles rash is associated with an inflammation of nerves beneath the skin.

    Shingles is caused by the varicella-zoster virus the same virus that causes chickenpox. Anyone who’s had chickenpox may develop shingles. After you recover from chickenpox, the virus enters your nervous system and lies dormant for years.

    Eventually, it may reactivate and travel along nerve pathways to your skin producing shingles. But, not everyone who’s had chickenpox will develop shingles.

    The reason for shingles is unclear. But it may be due to lowered immunity to infections as you grow older. Shingles is more common in older adults and in people who have weakened immune systems.

    Varicella-zoster is part of a group of viruses called herpes viruses, which includes the viruses that cause cold sores and genital herpes. Because of this, shingles is also known as herpes zoster. But the virus that causes chickenpox and shingles is not the same virus responsible for cold sores or genital herpes, a sexually transmitted infection.

    Also Check: How Soon After Shingles Can I Get Vaccine

    Shingles Vaccine Side Effects

    Like all vaccines, the shingles vaccines can cause side effects, but they’re generally mild and do not last long.

    Common side effects that occur in at least 1 in 10 people are:

    • redness, pain, swelling, itching and warmth at the injection site

    If any side effects carry on for longer than a few days, speak to your GP or practice nurse.

    Tell your GP if you develop a rash after having the shingles vaccination.

    Prevent Shingles With Vaccination

    Shingles Vaccine Info

    The Centers for Disease Control and Prevention recommends that almost all people ages 60 and older be vaccinated against shingles, whether or not they had chicken pox in their youth or have had shingles before, says Dr. Oaklander.

    The vaccination that prevents chickenpox in children was used to develop a similar vaccine that protects against shingles. It reduces the risk of getting shingles by about half, and shingles rashes that still develop are slightly less likely to cause postherpetic pain, or other serious complications, says Dr. Oaklander.

    People with especially weak immune systems, such as those with cancer or anyone undergoing immunosuppressive treatments, should avoid Zostavax since the vaccine contains a weakened form of the live virus. Because Zostavax has only been available since 2006, it is still not yet clear if a single vaccination offers lifelong protection, but at this time, no booster is recommended.

    A new shingles vaccine called HZ/su also may be helpful for older adults. A study published in The New England Journal of Medicine found that the vaccine was 97.2% effective among those ages 50 and older, and 97.9% effective for those ages 70 and older. And since HZ/su is not made from a live, weakened virus, it is safe to give to people with weak immune systems. This vaccine still needs to undergo further testing before it can be submitted for FDA approval, which may happen as early as this year.

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    When To See A Healthcare Provider

    For most people, the effects of Shingrix are mild and short-term. In very rare cases, Shingrix can cause more serious side effects.

    Seek urgent medical care if you experience signs of a severe allergic reaction a few minutes or hours after your second dose of Shingrix, such as:

    • Rapid heartbeat
    • Facial swelling
    • Swelling in the throat or mouth

    You should also let your healthcare provider know if your Shingrix side effects are severe or arent going away on their own.

    How Is Shingles Treated

    Specific treatment for shingles will be determined by your healthcare provider based on:

    • Your age, overall health, and medical history
    • How long the shingles have been present
    • Extent of the condition
    • Your tolerance for specific medicines, procedures, or therapies
    • Expectations for the course of the condition
    • Your opinion or preference

    There is no cure for shingles. It simply has to run its course. Treatment focuses on pain relief. Painkillers may help relieve some of the pain. Antiviral drugs may help lessen some of the symptoms and reduce nerve damage. Other treatments may include:

    • Creams or lotions to help relieve itching
    • Cool compresses applied to affected skin areas
    • Antiviral medicines
    • Anticonvulsants

    Recommended Reading: Shingles On Eye And Face

    How Do Dermatologists Treat Shingles

    An antiviral medication can:

    • Reduce the amount of time that you have a shingles rash
    • Lower your risk of developing long-lasting nerve pain and other health problems

    One of three antiviral medications is usually prescribedacyclovir, famciclovir, or valacyclovir.

    To treat your symptoms, dermatologists typically recommend the following:

    Pain: Medication that you can buy without a prescription can help, such as:

      If you have severe pain, your dermatologist may prescribe a medication that reduces inflammation, such as a corticosteroid.

      What Everyone Should Know About The Shingles Vaccine

      Shingles: Signs, Symptoms, and Complications

      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.

      Also Check: What Are The Chances Of Getting Shingles After Vaccine

      Age Spots And Skin Tags

      Age spots, once called liver spots, are flat, brown spots often caused by years in the sun. They are bigger than freckles and commonly show up on areas like the face, hands, arms, back, and feet. Using a broad-spectrum sunscreen that helps protect against two types of the suns rays may prevent more age spots.

      Skin tags are small, usually flesh-colored growths of skin that have a raised surface. They become common as people age, especially for women. They are most often found on the eyelids, neck, and body folds such as the armpit, chest, and groin.

      Age spots and skin tags are harmless, although sometimes skin tags can become irritated. If your age spots or skin tags bother you, talk to your doctor about having them removed.

      Who Should Get Shingrix

      Adults 50 years and older should get two doses of Shingrix, separated by 2 to 6 months. Adults 19 years and older who have or will have weakened immune systems because of disease or therapy should also get two doses of Shingrix. If needed, people with weakened immune systems can get the second dose 1 to 2 months after the first.

      You should get Shingrix even if in the past you:

      • Received varicella vaccine

      There is no maximum age for getting Shingrix.

      If you had shingles in the past, Shingrix can help prevent future occurrences of the disease. There is no specific length of time that you need to wait after having shingles before you can receive Shingrix, but generally you should make sure the shingles rash has gone away before getting vaccinated.

      Chickenpox and shingles are related because they are caused by the same virus . After a person recovers from chickenpox, the virus stays dormant in the body. It can reactivate years later and cause shingles.

      Shingrix is available in doctors offices and pharmacies.

      If you have questions about Shingrix, talk with your healthcare provider.

      * A shingles vaccine called zoster vaccine live is no longer available for use in the United States, as of November 18, 2020. If you had Zostavax in the past, you should still get Shingrix. Talk to your healthcare provider to determine the best time to get Shingrix.

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      Is The Condition Curable

      There is no cure for shingles, but attacks can be rendered less severe and their duration shortened with the use of prescription antiviral drugs.

      Several antiviral medicinesacyclovir, valacyclovir, and famciclovirare available to treat shingles and shorten the length and severity of the illness. These medicines are most effective if you start taking them as soon as possible after the rash appears. If you think you have shingles, contact your healthcare provider as soon as possible to discuss treatment.

      Pain medicine, either over-the-counter or a prescription from your doctor, may help relieve the pain caused by shingles. Wet compresses, calamine lotion, and colloidal oatmeal baths can also help relieve itching.

      When They Start How Long They Last

      Doctor recommends shingles shot for those eligible

      The shingles vaccine is given in a two-shot series. You may experience side effects after the first, second, or both shots. Most of the time, these symptoms are mild and occur immediately following vaccination. They typically only last for two or three days.

      Side effects of the shingles vaccine are more common in younger people, and might interrupt your normal daily activities for a few days.

      This may seem like a downside of the shingles vaccine, but remember that these symptoms are a result of the creation of a strong shingles defense within your body.

      It is OK to take Tylenol or Advil after a shingles vaccine to relieve symptoms. Rest and plenty of fluids may help, too.

      Also Check: How Often Do I Need To Get The Shingles Vaccine

      Getting A Second Opinion

      When patients are diagnosed with a serious illness or surgery is recommended, patients often seek a second opinion. Hearing the views of two different doctors can help you decide whats best for you. In fact, your insurance plan may require it. Doctors are used to this practice, and most will not be insulted by your request for a second opinion. Your doctor may even be able to suggest other doctors who can review your case.

      Always remember to check with your insurance provider in advance to find out if a second opinion is covered under your policy, if there are restrictions on which doctors you can see, and if you need a referral form from your primary doctor.

      Why Is Shingrix Administered In Two Doses

      Shingrix is typically given in two doses, usually as a shot to the upper arm.

      A 2021 study found that adults over 65 were significantly less likely to develop either shingles or PHN after getting two doses of Shingrix than they were after one dose. Two doses of Shingrix also offered better protection against shingles complications to adults over 80 and immunocompromised adults.

      Previously, Zostavax was offered to older and immunocompromised adults to prevent shingles, PHN, and other shingles-related health problems. Zostavax is a live vaccine, which means it contains a weakened version of the herpes zoster virus. Shingrix is a recombinant vaccine, meaning that it uses only a small piece of the virus.

      In 2017, the Food and Drug Administration approved Shingrix for the prevention of shingles and related complications. Zostavax is no longer available in the U.S. People who have gotten Zostavax in the past should now get Shingrix.

      Studies have shown that Zostavaxa one-dose vaccineis generally less effective than two doses of Shingrix in preventing shingles complications among older and immunocompromised adults. Shingrix currently offers the best chance of protection against shingles, PHN, and shingles-related hospitalization.

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      Focus On Prevention Doctors Say

      Prevention is the best way to avoid a shingles episode.

      There is a vaccine that prevents the onset of shingles in people exposed to chickenpox. The CDC recommends that people age 60 and older get one dose of the vaccine. Vaccines are readily available at a doctors office and drug stores. In 2011, the Food and Drug Administration extended the vaccine use for people aged 50 to 59.

      Wigand-Bolling said the vaccine reduces the incidence of shingles by 51% and the neuralgia associated with shingles by 67%. The doctor said the vaccine is injected and once vaccinated a person is protected for life.

      Unless contraindicated because of pregnancy or being an organ transplant recipient or on chemotherapy, everyone over age 50 should be vaccinated, Wigand-Bolling said. I would recommend getting vaccinated to patients who may not have had chicken pox, or those who dont remember having chicken pox.

      More than 90% of those identified in the study at increased risk of stroke and heart attack after a shingles episode hadn’t been vaccinated for shingles. The people in the study who had the vaccine still got shingles, it’s worth noting.

      What Are The Possible Side Effects Of Shingrix

      The Importance of Ridge Vents

      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.

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