Doctor insights on:
Chronic Shingles Treatment
There is no best: Antivirals, like valtrex, need to be started within 72 hrs of shingle symptoms. They can decrease the severity and duration of the rash. If pain persists after the rash is gone - postherpetic neuralgia (phn) - it needs to be treated aggressively so it does not last forever. The older you are when you have shingles, the more likely you are to have phn. See a board certified pain specialist for help. ...Read moreSee 1 more doctor answer
Acute ot chronic?: If acute shingles, starting anti-viral therapy such as valtrex or Acyclovir may help. Corticostroids (prednisone) are used by some, but evidence behind this practice in 50/50. Nsaids for pain and maybe short course narcotic analgesic for severe pain. If post-herpetic neuralgia, many options are available, including gabapentin, pregabalin, Lidocaine patch, and other topicals. ...Read moreSee 1 more doctor answer
Many Options: Typical options for shingles include starting antivirals such as Famciclovir and valcyclovir but are prescribed and evaluated by your pcp. Other options include epidural steroid injections to the spine area of concern that relates to the dermatomal pattern to slow/stop the viral proliferation. If pain is of concern, using nsaids, tylenol, gabapentin/lyrica or as last resort opiate pain meds. ...Read more
My nana has had MS for about 20 years now and she keeps getting shingles this is her 3rd time! she cries because of the pain. Any treatment options?
Shingles: We now have a shingles vaccine, which can help prevent further episodes, and in this case, would strongly recommend. The pain can be managed with Lyrica. Unlikely that the shingles has any relationship to her MS, but would be wise for her to be taking a medication to stabilize the MS also. ...Read moreSee 1 more doctor answer
Is there any treatment for the heat shingles causes in my head not pain but heat that comes in waves for over a year.
More information: This is not a common complaint, and more information would be needed to figure out what's going on. ...Read more
Yes: Antiviral medicines, such as acyclovir, famciclovir, or valacyclovir, to reduce the pain and the duration of shingles. Otc acetaminophen, aspirin, or ibuprofen, to help reduce pain during an attack of shingles. Sometimes capsiacin. Topical antibiotics, applied directly to the skin, to stop infection of the blisters. For severe cases of shingles, some doctors may have their patient (controversial). ...Read more
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