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Doctor insights on: Ophthalmic Shingles

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Is Bausch + Lomb Zirgan (ganciclovir ophthalmic gel) eye drops usually used to treat Shingles (herpes zoster) in the eye?

Is Bausch + Lomb Zirgan (ganciclovir ophthalmic gel) eye drops usually used to treat Shingles (herpes zoster) in the eye?

Herpes zoster tx: The standard approach to herpes zoster opthalmicus is to treat with antiviral therapy using a systemic drug like acyclovir, valacyclovir or famciclovir. However, gangciclovir ophthalmic gel is still indicated for treatment of herpes zoster opthalmicus. Treatment depends on the symptoms, because if there are systemic shingles symptoms present, a systemic antiviral should be started. ...Read more

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


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Can I use erythromycin ophthalmic ointment for possible ocular herpes simplex?

Can I use erythromycin ophthalmic ointment for possible ocular herpes simplex?

No: Erythromycin is a useful antibiotic effective against susceptible bacteria. It has no action against viruses including the herpes virus. There are very good anti-virals to treat herpes and if you suspect this condition see you ophthalmologist for diagnosis and treatment as herpes untreated can sometimes cause vision to drop. ...Read more

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Is Predforte eye drops usually used to treat Shingles (herpes zoster) in the eye?

Is Predforte eye drops usually used to treat Shingles (herpes zoster) in the eye?

Yes but:: The standard approach to herpes zoster ophthalmicus includes oral antiviral therapy (acyclovir, valacyclovir, or famciclovir) to limit VZV replication, and the use adjunctive topical steroid drops to reduce the inflammatory response and control immune-associated keratitis and iritis ...Read more

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Erythromycin ophthalmic ointment- can I use for possible ocular herpes?

No effect: Herpes is a virus for which a particular medication is available for treatment. Erythromycin is an anti-bacterial antibiotic ineffective against viruses. See you ophthalmologist if you suspect ocular herpes as if it is untreated, it can cause permanent vision change. ...Read more

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Terramycin ophthalmic ointment can cure eye stye?

Terramycin ophthalmic ointment can cure eye stye?

Warm Compresses: A stye, or chalazion, is an obstructed or infected oil gland of the eyelid. Use of warm compresses (a wash rag soaked in warm water) held over the closed eye for 10 minutes a few times a day will usually help the stye to resolve. Sometimes antibiotic eye ointment and less commonly oral antibiotics can help as well. If the stye has been there chronically (months), surgical drainage may be needed. ...Read more

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Could herpes zoster vaccine be given to an elderly with active herpes zoster?

Could herpes zoster vaccine be given to an elderly with active herpes zoster?

Why ?????: Giving the vaccine to anyone with active shingles would be a waste of time, resources and effort. It would not treat the infection or benefit the recipient in any way. ...Read more

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Dx. atypical TN. Possibly shingles virus on the trigeminal nerve. If shingles why did ENT not prescribe an anti-viral med?

 Dx. atypical TN.   Possibly  shingles virus on the trigeminal nerve. If shingles why did ENT not prescribe an anti-viral med?

Possible Shingles: Only your Ear Nose Doctor can answer this question. "Possibly shingles" means the diagnosis was questionable. If testing was done and confirmed shingles the treatment was probably indicated. Give your doctor a call to clarify and answer your question. Good luck ...Read more

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Can the shingles vaccination prevent shingles?

Yes: The shingles vaccine, zostavax, is available to adults in a particular age group. Zostavax helps prevent shingles, but is not completely protective. Some people can still get shingles even though they were vaccinated. Zostavax costs about $250 if not covered by insurance. ...Read more

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Can herpes zoster vaccine be given to an elderly with active zoster?

No: No, someone with active zoster will not benefit from the herpes zoster vaccine, which is used for prevention, not treatment. ...Read more

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Can getting an eye transplant cure optic neuritis?

Can getting an eye transplant cure optic neuritis?

Unrelated: The only current transplant is corneal transplantation. There is no way to transplant a whole eye or any part of the eye nerves. If you have optic neuritis, you can benefit from some forms of treatment which are best managed by a neuro-ophthalmologist. ...Read more

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Can topical steroid treatment be given in viral diseases like varicella, herpes, chicken pox infections?

Can topical steroid treatment be given in viral diseases like varicella, herpes, chicken pox infections?

Topical Steroids : Topical steroids used on viral infection can affect the healing process. In fact the lesions may heal a lot slower. If you want to use topical steroids to decrease inflammation make sure you also take oral antiviral medications at the same time. ...Read more

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Can we give steroid with acyclovir in chicken pox or herpes zoster patient?

Can we give steroid with acyclovir  in chicken pox or herpes zoster patient?

I wouldn't: Any steroid taken during these outbreaks can suppress the body's immune response and increase the intensity of the outbreak.The worst case of chickenpox I ever saw involved a kid given steroids for a skin condition while he was incubating (10-21 days) the chickenpox. ...Read more

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The best treatment for herpes zoster's neuropathy?

The best treatment for herpes zoster's neuropathy?

Post herpetic: Post herpetic neuralgia is a very painful condition that can occur after an outbreak of shingles which is a reactivation of the chickenpox virus usually occurring in older people. It can be very tough to treat. Different nerve pain medications can be helpful. Topical Lidocaine patches can help and there is also a topical capsaicin patch that is applied for one hour in the office. Nerve blocks occ. ...Read more

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Creams for shingles?

Compounding creams: There are some excellent creams for shingles out there. One of the best compounding pain medication ingredients is ketamine. Recent research suggests the receptors ketamine acts on are found in peripheral nerves. Ask your physician if they can prescribe compounding pain cream from a compounding pharmacy and this will help a great deal with shingles pain. ...Read more

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What is the difference between herpes zoster and varicella zoster virus?

What is the difference between herpes zoster and varicella zoster virus?

Herpes zoster...: ...Is the return of the infection caused by the varicella zoster virus. The first time this infection occurs, it is called varicella. ...Read more

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Dr. Heidi Fowler
824 doctors shared insights

Herpes Zoster (Definition)

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