10 doctors weighed in:

What pain relief is available for shingles that doesn't involve sleepiness?

10 doctors weighed in
Dr. Joel Gallant
Internal Medicine - Infectious Disease
6 doctors agree

In brief: Topical therapy

Most of the oral medications used to treat shingles pain are sedating.
However, there are topical treatments (applied to skin) such as Lidocaine patches or gel, or capsacin cream (zostrix), a chili-derived substance that stings at first, but later deadens the nerve endings.

In brief: Topical therapy

Most of the oral medications used to treat shingles pain are sedating.
However, there are topical treatments (applied to skin) such as Lidocaine patches or gel, or capsacin cream (zostrix), a chili-derived substance that stings at first, but later deadens the nerve endings.
Dr. Joel Gallant
Dr. Joel Gallant
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1 comment
Dr. William Newton
If topical treatments are not effective and pain is poorly controlled, the pain can be treat with nerve blocks (injections) that target the specific nerve that was the source of the shingles outbreak. I would recommend topical and oral medications prior to injection therapy as a conservative step.
Dr. Ron Jones
Family Medicine
4 doctors agree

In brief: Depends on Location

In some cases, interventional pain procedures such as nerve bocks may help.
Other drugs which modifies the nerve membrane may help (lyrica, neurontin, (gabapentin) keppra). Some of the tri-cyclic antidepressant are used to help bock pain pathways from the nerve to the brain. These meds may or may not cause drowsiness. I also agree with the other doctor who answered this question.

In brief: Depends on Location

In some cases, interventional pain procedures such as nerve bocks may help.
Other drugs which modifies the nerve membrane may help (lyrica, neurontin, (gabapentin) keppra). Some of the tri-cyclic antidepressant are used to help bock pain pathways from the nerve to the brain. These meds may or may not cause drowsiness. I also agree with the other doctor who answered this question.
Dr. Ron Jones
Dr. Ron Jones
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Dr. Mehul Desai
Pain Management
1 doctor agrees

In brief: Topical agents

There are topical agents (gels, ointments, creams) such as capsacin and lidocine as well as other formulations that do not typically cause sedation.

In brief: Topical agents

There are topical agents (gels, ointments, creams) such as capsacin and lidocine as well as other formulations that do not typically cause sedation.
Dr. Mehul Desai
Dr. Mehul Desai
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