Top
20
Doctor insights on: Chronic Shingles Treatment

Share
1

1
What is the most effective treatment for shingles?

What is the most effective treatment for shingles?

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 more

See 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


2

2
Which treatment works the best and fastest for shingles?

Which treatment works the best and fastest for shingles?

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 more

See 1 more doctor answer
3

3
What are my specific treatment options if I have shingles?

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

4

4
I have just been diagnosed w/shingles. Any advice for me during treatment?

I have just been diagnosed w/shingles. Any advice for me during treatment?

Shingles: Although there is not a “cure” for shingles- valacyclovir (valtrex), Acyclovir (zovirax) ; Famciclovir (famvir) can help symptoms. Cool bath or compresses over the rash may v pain/ itching. ...Read more

5

5
Shingles rash, treatment?

Shingles rash, treatment?

Valacyclovir: The treatment is with a high dose of an anti-herpes drug (usually valacyclovir) if given early enough during the course of the outbreak. ...Read more

6

6
Shingles on lips, treatment?

Are you sure?: It would be very unusual to have shingles just on the lips, without lesions on one side of the face. If the lesions are only on your lips, it's more likely to be herpes simplex than shingles. ...Read more

8

8
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 more

See 1 more doctor answer
9

9
Shingles on foot, cause and treatment?

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

10

10
Do you get treatment for shingles or will they run a course?

Do you get treatment for shingles or will they run a course?

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

11

11
Is there any treatment for the heat shingles causes in my head not pain but heat that comes in waves for over a year.

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

12

12
Will i still need to continue treatment after shingles blisters have healed?

Will i still need to continue treatment after shingles blisters have healed?

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

13

13
Would it be okay to take Clomid (clomiphene) when you are under treatment of shingles?

Would it be okay to take Clomid (clomiphene) when you are under treatment of shingles?

YES: Shingles does not interfere with clomid, (clomiphene) and Clomid (clomiphene) will not make the problem worse. I hope that you are being treated for your shingles with antiviral medications! ...Read more

14

14
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?

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 more

See 2 more doctor answers
15

15
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?

Concerns: Would handle many items ASAP. First, get shingles treated and then consider shingles vaccine. Since a live virus vaccine, no immune MS drugs for a month after. Would suggest then, start an MS disease modifying agent plus vitamin D supplements. ...Read more

See 1 more doctor answer
16

16
I am experiencing an allergic and severe reaction to acyclovir and Valtrex (valacyclovir) for shingles treatment. How do I treat this at home?

See a dermatologist: It makes no sense to use both Valtrex (valacyclovir) and Acyclovir at the same time. Allergic reaction to either of these is extremely unlikely. See a skin specialist immediatly . The correct diagnosis may be something else. ...Read more

See 1 more doctor answer
18

18
Can acyclovir cause dizziness and daily headaches while using for treatment of shingles?

Can acyclovir cause dizziness and daily headaches while using for treatment of shingles?

Acyclovir Effects: 2% of patients develop headaches while taking acyclovir. Dizziness is a common reaction in those patients taking acyclovir. You may want to try Valtrex (valacyclovir) or famvir. ...Read more

20

20
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

 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

Yes: Definitely get the second opinion. It is extremely unlikely that you are experiencing any pain from shingles 20 years ago. Make an appointment with an orthopedic surgeon to get a second opinion. ...Read more

See 2 more doctor answers
Dr. Heidi Fowler
806 doctors shared insights

Herpes Zoster (Definition)

Shingles (herpes zoster) is a painful, blistering skin rash due to the varicella-zoster virus, the ...Read more