Doctor insights on:
Post Herpetic Neuralgia Shingles
Several treatments: Post-herpetic neuralgia (chronic pain after shingles) can be treated with Gabapentin (neurontin) or other related drugs. You can also apply capsaicin (zostrix) cream to the area, which burns the nerve endings to deaden the pain. Other treatments include tricyclic antidepressants, Lidocaine patches, and, in severe cases, narcotic pain relievers. ...Read moreSee 1 more doctor answer
There are different types of herpes infections; herpes simplex infection of mouth (gingivostomatitis) and lips (labialis) are the most common. Others include genital herpes, and herpes zoster. Herpes infection could very mild to very dangerous depending on the type and location of the body affected. I ...Read more
I had shingles in 2013 followed by post herpetic neuralgia which has largely, but not entirely retracted. Can I visit with child w chickenpox?
A 72 year old male with a history of shingles and post herpetic neuralgia gets exposed to a child with chicken pox. Any risk of shingles recurrence?
No risk: this way but shingle can reoccur rarely. ...Read more
See your doctor.: Although there is not a “cure” for shingles- valacyclovir (valtrex), Acyclovir (zovirax) ; Famciclovir (famvir) can help symptoms. Narcotics (i.e., codeine), tricyclic antidepressants (amitriptyline), anticonvulsants (neurontin) as well as localized numbing medications can be used for pain. Cool bath or compresses over the rash may v pain/ itching. ...Read more
Neurologist: Post-herpetic neuralgia can be very painful. There are several medications that may be able to help with the pain. Neurontin (gabapentin) is one of the 1st line medications that has some efficacy. There are other medications that your neurologist may recommend that may help decrease the pain. ...Read moreSee 1 more doctor answer
Many: Over the counter remedies include zostrex cream-a cayenne pepper extract that will burn your eyes like tear gas. There are a number of medications including Lidoderm patches-a local anesthetic applied to the unbroken skin, a number of different meds of the anti-epileptic class like lyrica, (pregabalin) neurontin; snri antidepressents like Cymbalta and Pamelor work at the spinal cord level, . ...Read moreSee 1 more doctor answer
Postherpetic neuralg: Severe options, thankfully. Medications such as gabapentin, pregabalin, Lidocaine patches . Nerve blocks and treatments with pulsed radiofrequency. Spinal cord stimulation if nothing helps. It is a painful and difficult to treat condition. See an expert for proper evaluation. It has central as well as peripheral components so the treatment may vary depending on that. ...Read moreSee 1 more doctor answer
B12, C, E, AMP: Although there is no overwhelming evidence, a very limited number of studies have suggested that vitamin c and B12 injections may improve symptoms. Intramuscular amp (adenosine monophosphate) has also helped some patients in one large trial. Additionally, oral or topical vitamin e, topical capsaicin or peppermint oil may offer some relief as well. ...Read moreSee 1 more doctor answer
Pain or neurology: A pain specialist or neurologist.Get a more detailed answer ›
YES!: 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
Herpetic Neuralgia: See your pcp and let him decide. ...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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