Doctor insights on:
Nerve Damage: A painful condition that follows a bout of shingles or herpes zoster. This occurs in people that have had chicken pox earlier in life when the virus reactivates in their nervous system..An immunization is available for patients over 50 to reduce the chance of this reactivation happening. Condition is not generally seen in younger people unless they are immunocompromised or under unusual stress. ...Read moreSee 1 more doctor answer
Pain: Postherpetic neuralgia is fancy doctor talk for residual pain left over after the shingles rash has gone away. Post means after, herpetic means related to herpes-and shingles is caused by a herpes zoster virus, and neuralgiai s another word for nerve related pain. Not all patients who suffer from shingles get the resultant postherpetic neuralgia. ...Read moreSee 1 more doctor answer
Posherpetic neuralgi: Overall, about 20%, but increasing incidence as we age. This is the reason to consider the vaccine. ...Read more
Yes/No: Herpes zoster (hzv) causes both chickenpox & shingles and is usually associated with postherpetic neuralgia but both forms of herpes simplex - hsv 1 & hsv 2 in extreme cases, especially in immunocompromised patients can cause postherpetic neuralgia but generally not as wide-spread and life-affecting as the zoster virus. And it is much les common. ...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
I have shingles. I'm 17 years old and the rash is on my back. What are my chances of postherpetic neuralgia. No other disease, ?
Is amytriptiline appropriate for person with MI and using hypertension drugs for postherpetic neuralgia? Is pregabalin better alternative?
Are there any natural/holistic remedies for the pain caused by postherpetic neuralgia? I would prefer to stay away from opiates and pharmaceuticals.
Can Lidoderm patch be used topically in addition to taking Gabapentin orally for relieving postherpetic neuralgia (unbearable pain)? How many a day?
Yes: you can use one patch every 12 hours ...Read more
Yes indicated: Herpes zoster ' shingles' after blisters healed in some will have severe disabling pains will lost for months and months which most likely you have involving one of the trigeminal nerve branch, the virus stays in nerve root for ever. Image guided cervicothoracic sym. Ganglion block along with t.N block most likely will help your pain , is relatively low risk procedure in trained hands. ...Read moreSee 2 more doctor answers
Is adding 10mg Elavil to 300mg lyrica unsafe for a person with CABG/MI for postherpetic neuralgia ? at 300mg there is moderate pain control
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
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