Doctor insights on:
Chronic Shingles Treatment
Acute ot chronic?: If acute shingles, starting anti-viral therapy such as Valtrex (valacyclovir) 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
Shingles (Herpes Zoster) (Definition)
A painful blistering skin rash caused by the chickenpox virus (varicella zoster). Early treatment with antiviral medication (within 72 hours) lowers the risk of post-herpetic neuralgia, which is lingering skin pain after the rash disappears. ...Read more
There is no best: Antivirals, like valtrex, (valacyclovir) 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
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, (acetaminophen) 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 (pregabalin). 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
Herpes zoster: Shingles, herpes zoster, is caused by the chicken pox virus. The virus lays dormant from our childhood in the dorsal root ganglion in the spinal column waiting for reactivation. The older we get the more likely we are to have them by age 80, 80% of people will have them. It can be treated with antivirals like Acyclovir and valtrex (valacyclovir). These days it can be prevented by a vaccine. ...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
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
If pain continues: Your symptoms should begin to improve after the blisters crust and heal. You are no longer contagious. Pain that persists afterwards is called post-herpetic neuralgia and can become chronic. There are many treatment options if this happens. Discuss your susceptibility with a doctor if you get repeat outbreaks. ...Read more
If I am taking treatment for shingles, am I still contagious? what can I do to not spread the chickenpox virus with people around me?
About shingles: Shingles cannot be passed from one person to another. However, the virus that causes shingles, the varicella zoster virus, can be spread from a person with active shingles to another person who has never had chickenpox. In such cases, the person exposed to the virus might develop chickenpox, but they would not develop shingles. Once the rash has developed crusts, the person is no longer contagious ...Read moreSee 2 more doctor answers
Recently diagnosed with MS had three day meth pred treatment last dose finished two days ago i feel ill think i now have shingles should I be worried?
I am experiencing an allergic and severe reaction to acyclovir and Valtrex (valacyclovir) for shingles treatment. How do I treat this at home?
I have inward shingles for the second time on the right side of my body with blisters on the inside only according to my south african dr. Treatment?
Is neuropathy in your hand permanent? I had shingles to break out on my left during the month of august, the rash has cleared up. Since then it has turned into neuropathy. My question is what is your best recommendation for treatment? I can't bend my inde
Had post shingles heel pain 20 years ago. Now it is back. Podiatrist said neuropathy.Age 66. Do I need a second opinion? Treatment opions
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