How do antiviral medications help treat shingles. What are effective pain relief options for shingles. Can alternative treatments provide relief for shingles symptoms. How can you prevent shingles through vaccination and self-care.

Understanding Shingles: Causes and Symptoms

Shingles is a viral infection caused by the varicella-zoster virus, the same virus responsible for chickenpox. After a person recovers from chickenpox, the virus can lie dormant in nerve tissues for years before reactivating as shingles. The primary symptom of shingles is a painful rash that typically appears on one side of the body or face.

Why does the varicella-zoster virus reactivate? Several factors can trigger shingles, including:

• Weakened immune system
• Stress
• Aging
• Certain medications
• Chronic diseases

Early recognition of shingles symptoms is crucial for effective treatment. If you suspect you have shingles, consult a healthcare professional promptly, ideally within 72 hours of symptom onset for optimal treatment results.

Antiviral Medications: The First Line of Defense

Antiviral medications play a pivotal role in managing shingles infections. These drugs work by inhibiting the replication of the varicella-zoster virus, thereby reducing the severity and duration of the outbreak. When administered early, antivirals can significantly impact the course of the infection.

Which antiviral medications are commonly prescribed for shingles? Healthcare providers typically recommend one of the following:

• Acyclovir (Sitavig, Zovirax)
• Famciclovir (Famvir)
• Valacyclovir (Valtrex)

How do these antiviral medications differ? While all three target the varicella-zoster virus, they vary in dosing frequency and bioavailability. Valacyclovir and famciclovir often require less frequent dosing compared to acyclovir, potentially improving patient compliance.

Are there potential side effects of antiviral medications? Common side effects may include nausea, headache, and dizziness. It’s essential to discuss any concerns with your healthcare provider and report any unusual symptoms during treatment.

Pain Management Strategies for Shingles

Pain is a hallmark symptom of shingles, often described as burning, throbbing, or stabbing. Effective pain management is crucial for patient comfort and quality of life during a shingles outbreak.

Over-the-Counter Pain Relievers

For mild to moderate pain, over-the-counter medications can provide relief. Options include:

• Acetaminophen
• Ibuprofen
• Naproxen

These medications not only alleviate pain but may also help reduce inflammation associated with shingles. It’s important to follow dosage instructions carefully and be aware of potential interactions with other medications.

Prescription Pain Management

In cases of severe pain or when over-the-counter options prove insufficient, healthcare providers may prescribe stronger pain medications. These can include:

• Opioid analgesics
• Gabapentin or pregabalin for nerve pain
• Tricyclic antidepressants, which can help with pain and depression

How do tricyclic antidepressants help with shingles pain? These medications, such as amitriptyline, desipramine, and nortriptyline, can modulate pain signals in the nervous system, providing relief from persistent pain even after the rash has healed.

Topical Treatments for Shingles Symptoms

Topical treatments can offer localized relief for shingles symptoms, particularly for itching and discomfort associated with the rash.

Prescription Topical Medications

Healthcare providers may prescribe topical treatments to address specific symptoms:

• Capsaicin cream: Derived from chili peppers, this cream can help reduce pain by desensitizing nerve endings.
• Lidocaine patches or creams: These provide numbing effects to alleviate localized pain.

When using capsaicin cream, what precautions should be taken? It’s crucial to avoid contact with eyes and mucous membranes. Apply the cream with gloves and wash hands thoroughly afterward to prevent accidental transfer to sensitive areas.

Over-the-Counter Topical Solutions

Several over-the-counter options can provide relief from itching and discomfort:

• Calamine lotion
• Colloidal oatmeal baths
• Cool compresses

These treatments can soothe the skin, reduce itching, and help keep the affected area clean and dry, which is essential for preventing secondary bacterial infections.

Alternative and Complementary Treatments for Shingles

While conventional medical treatments remain the cornerstone of shingles management, some patients explore alternative and complementary approaches to alleviate symptoms.

Acupuncture and Traditional Chinese Medicine

Acupuncture, a key component of Traditional Chinese Medicine, involves inserting thin needles into specific points on the body. Some studies suggest that acupuncture may help reduce pain associated with shingles and postherpetic neuralgia.

How might acupuncture benefit shingles patients? Proponents believe it can help balance the body’s energy flow, potentially reducing pain and promoting healing. However, more research is needed to fully understand its efficacy in treating shingles.

Herbal Supplements and Natural Remedies

Various herbal supplements and natural remedies have been suggested for shingles relief, including:

• Papain (from papayas)
• Manuka honey
• Vitamin C and E supplements
• Adaptogenic herbs like ashwagandha

While some anecdotal evidence supports the use of these remedies, scientific research is limited. It’s crucial to consult with a healthcare provider before incorporating any alternative treatments into your shingles management plan.

Preventing Shingles: Vaccination and Lifestyle Factors

Prevention is a key aspect of managing shingles risk, particularly for individuals over 50 or those with compromised immune systems.

Shingles Vaccination

The Centers for Disease Control and Prevention (CDC) recommends the shingles vaccine for adults 50 years and older. Two vaccines are currently available:

• Shingrix: A recombinant zoster vaccine, recommended as the preferred option
• Zostavax: A live attenuated vaccine (no longer available for use in the United States as of November 18, 2020)

How effective is the Shingrix vaccine in preventing shingles? Clinical trials have shown Shingrix to be more than 90% effective in preventing shingles in adults 50 and older. It remains about 85% effective for at least four years after vaccination.

Lifestyle Factors for Shingles Prevention

While vaccination is the most effective preventive measure, certain lifestyle factors may help reduce the risk of shingles or minimize its severity:

• Stress management techniques
• Regular exercise
• Balanced diet rich in immune-boosting nutrients
• Adequate sleep
• Avoiding excessive sun exposure

These lifestyle factors contribute to overall health and immune function, potentially reducing the likelihood of virus reactivation.

Long-Term Complications: Managing Postherpetic Neuralgia

Postherpetic neuralgia (PHN) is a potential long-term complication of shingles, characterized by persistent pain in the affected area even after the rash has healed.

Risk Factors for Postherpetic Neuralgia

Certain factors increase the risk of developing PHN:

• Advanced age
• Severe acute pain during the shingles outbreak
• Extensive rash
• Delayed or inadequate treatment of the initial shingles infection

Treatment Options for Postherpetic Neuralgia

Managing PHN often requires a multifaceted approach:

1. Medications:
   • Anticonvulsants (e.g., gabapentin, pregabalin)
   • Tricyclic antidepressants
   • Topical lidocaine or capsaicin patches
2. Non-pharmacological approaches:
   • Transcutaneous electrical nerve stimulation (TENS)
   • Cognitive behavioral therapy
   • Relaxation techniques

How long does postherpetic neuralgia typically last? The duration of PHN varies greatly among individuals. For some, the pain may resolve within a few months, while others may experience symptoms for years. Early and aggressive treatment of the initial shingles outbreak can help reduce the risk and severity of PHN.

Special Considerations: Shingles in Immunocompromised Individuals

Individuals with weakened immune systems, such as those undergoing chemotherapy or living with HIV/AIDS, face unique challenges when it comes to shingles.

Increased Risk and Severity

Immunocompromised individuals are at higher risk of:

• Developing shingles
• Experiencing more severe symptoms
• Developing complications
• Having recurrent shingles outbreaks

Treatment Approaches for Immunocompromised Patients

Management of shingles in immunocompromised individuals often requires:

• Higher doses of antiviral medications
• Longer duration of treatment
• Close monitoring for complications
• Potential hospitalization for severe cases

Why is early intervention crucial for immunocompromised individuals with shingles? Prompt treatment can help prevent the spread of the virus, reduce the risk of severe complications, and improve overall outcomes. Healthcare providers may need to adjust standard treatment protocols to accommodate the patient’s specific immune status.

In conclusion, managing shingles requires a comprehensive approach that includes antiviral medications, pain management strategies, and preventive measures. While the condition can be challenging, especially for those at higher risk of complications, advancements in treatment and prevention offer hope for better outcomes. As research continues, our understanding of shingles and its management continues to evolve, promising improved care for those affected by this viral infection.

Shingles Treatment, Medication, and Prevention: Pain Relief, Antiviral

Written by WebMD Editorial Contributors

• Antiviral Medications for Shingles
• Painkillers for Shingles
• Other Medications for Shingles
• Alternative Treatments for Shingles?
• Self-Care for Shingles
• Can I Prevent Shingles?
• Who Shouldn’t Get the Shingles Vaccine?
• More

The virus that causes chickenpox also causes shingles. It’s called varicella zoster. It can lie quietly in your nerves for decades after causing chickenpox but suddenly wake up and become active.

The main symptom of shingles is a painful rash that comes up on one side of your body or face. See your doctor as soon as you can if you think you might have this condition.

Your doctor may want to put you on medications to control your infection and speed up healing, cut inflammation, and ease your pain. They include:

These medicines may slow down the progress of the shingles rash, especially if you take them within the first 72 hours of having symptoms.

They can also lower your chance of having complications. Your doctor may prescribe:

• Acyclovir (Sitavig, Zovirax)
• Famciclovir (Famvir)
• Valacyclovir (Valtrex)

Talk with your doctor or pharmacist about side effects to watch for if you take one of these drugs.

Shingles causes inflammation and pain. Your doctor can suggest over-the-counter medicines to relieve milder discomfort. They include:

• Acetaminophen
• Ibuprofen
• Naproxen

These may also help you stave off postherpetic neuralgia, which is a burning pain that some people get after the rash and blisters of shingles go away.

If you have severe pain after the rash clears or an infection during your shingles outbreak, your doctor might prescribe:

Capsaicin cream: Be careful not to get it in your eyes.

A numbing medicine: You might get lidocaine (Lidoderm, Xylocaine) for pain. It can come in a variety of forms, such as creams, lotions, patches, powders, and sprays, among others.

Antibiotics: You might need these medicines if bacteria infect your skin and rash. But if bacteria aren’t involved, then antibiotics won’t help.

Tricyclic antidepressants: These medications might help ease the pain that lingers after your skin has healed, such as amitriptyline, desipramine (Norpramin), and nortriptyline (Pamelor). They may also help you with depression, if you have that in addition to shingles. Your doctor can tell you what the risks and benefits are.

Some studies show that various alternative treatments, from acupuncture to supplements, can offer relief. The research isn’t complete, but some show promise. Check with your doctor before you try any of these: 

TENS (transcutaneous electrical nerve stimulation). This therapy uses tiny electrical pulses to relieve pain. A TENS unit is about the size of a smartphone and comes with small patches called electrodes. You put them over the painful area and turn the unit on and off as your pain comes and goes.  

Traditional Chinese medicine. These treatments aim to restore balance in your body. They include acupuncture, the ancient practice of inserting very thin needles into your skin at specific points. Also, moxibustion and cupping, two types of heat therapy, are supposed to draw out toxins. These treatments may be done in combination.

Creams and other skin treatments. A mixture of liquid dimethyl sulfoxide (DMSO) and idoxuridine, an antiviral drug, may reduce swelling and the number of blisters you have when you put it on your rash. And chlorophyll, the chemical that gives plants their green color, is also used directly on the rash as a cream or saline solution. 

Supplements. You’ll find a long list of herbs, pills, and oils that claim to relieve shingles. Most have no research to back them up, but there are a couple of exceptions. Papain, a protein found in papayas, is sold in capsules. And manuka and clover honeys can be put directly on your skin. Very early studies on both show they might be helpful. 

There aren’t home remedies for shingles. But there are things you can do to help your skin heal.

Keep the affected area clean, dry, and exposed to air as much as possible.

The itching can be maddening at times, but try not to scratch or burst the blisters.

Soothe the rash. Your top priority is to find relief for the pain and itching that the rash causes. You might try:

1. Oatmeal baths. Dip into a cool tub of water. For extra relief, add colloidal oatmeal, which is made of oats that have been ground to a very fine powder. This soothing bath may help calm your itching.

2. Cold compresses. Run a washcloth under cool water and place it on your blisters for about 20 minutes at a time. Not only can this relieve itching, it also keeps your blisters clean. That can help you avoid a skin infection. If your blisters aren’t oozing anymore, stop using cold compresses. And if you are using any creams or patches on your rash, don’t use compresses at the same time.

3. Loose clothing. You’ll likely find that relaxed fits made from natural fibers, such as cotton or linen, give you more comfort. If you need to cover your blisters, avoid bandages that might stick to your rash.

4. Calamine lotion. Treat your skin with this smooth, cool, and soothing balm. 

Treat your body and mind. You can get worn down mentally when you’re in constant pain. Stress can make it seem even worse. Self-care starts with treating your rash, but don’t stop there. Your mind and emotional state need to be cared for as well. 

Stick with good habits: Your body is working hard to fight the varicella zoster virus that causes shingles. To give it the right support, you can:

• Eat nutritious food and have regular meals. Ask someone to make a run to the grocery store for fresh fruit and such if you’re not up for it.
• Try to get a good night’s sleep and rest anytime you need to.
• Do gentle exercises, such as walking or stretching. Light activity can help take your mind off the pain. Keep it simple though, and check with your doctor if you’re trying something new.

Distract yourself. Sometimes, the best thing you can do is to put your focus elsewhere. Here are a few things to try:

• Call a friend.
• Listen to music that relaxes you.
• Read a book.
• Watch a favorite movie.
• Work on hobbies you enjoy.

Keep calm. Relaxation can be a big help. With a calmer mind, you can better handle your discomfort. You may want to try:

• Meditation
• Tai chi
• Walking (but keep your blisters covered)
• Yoga

Experiment with these strategies as you get through your shingles outbreak. Different things can help depending on how severe your symptoms are and how you feel from day to day.

There are two shingles vaccines. Shingrix is the recommended vaccine. Zostavax is no longer avilable in the U.S.

Who should get it: The CDC recommends that you get this vaccine if you’re a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. If you have had the Zostavax vaccine, you can also get Shingrix.

How many shots do you need? You would need two shots for Shingrix: One at first, with a follow-up in 2 to 6 months.

What it does: Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.

I never had chickenpox. Do I still need the shingles vaccine? Yes, you do. Shingrix is recommended for everyone age 50 or older, whether or not you remember having had chickenpox.

If I’ve had shingles, can I still get the vaccine? Yes. It may help prevent another bout of shingles later on. If you have shingles right now, you should wait until the rash is gone before you get vaccinated.

What are the side effects? The most common side effects with Shingrix include pain and swelling where the needle went in you skin, muscle pain, tiredness, headache, chills, fever, and stomach troubles. With any vaccine, there is a chance of a severe allergic reaction. 

Don’t get the Shingrix vaccine if:

• You’re allergic to any of the ingredients.
• You’re pregnant or nursing.
• You have tested negative for immunity to the chickenpox virus. Ask your doctor about the chickenpox vaccine instead.
• You have shingles now.

Top Picks

Shingles Treatment, Medication, and Prevention: Pain Relief, Antiviral

Written by WebMD Editorial Contributors

• Antiviral Medications for Shingles
• Painkillers for Shingles
• Other Medications for Shingles
• Alternative Treatments for Shingles?
• Self-Care for Shingles
• Can I Prevent Shingles?
• Who Shouldn’t Get the Shingles Vaccine?
• More

The virus that causes chickenpox also causes shingles. It’s called varicella zoster. It can lie quietly in your nerves for decades after causing chickenpox but suddenly wake up and become active.

The main symptom of shingles is a painful rash that comes up on one side of your body or face. See your doctor as soon as you can if you think you might have this condition.

Your doctor may want to put you on medications to control your infection and speed up healing, cut inflammation, and ease your pain. They include:

These medicines may slow down the progress of the shingles rash, especially if you take them within the first 72 hours of having symptoms.

They can also lower your chance of having complications. Your doctor may prescribe:

• Acyclovir (Sitavig, Zovirax)
• Famciclovir (Famvir)
• Valacyclovir (Valtrex)

Talk with your doctor or pharmacist about side effects to watch for if you take one of these drugs.

Shingles causes inflammation and pain. Your doctor can suggest over-the-counter medicines to relieve milder discomfort. They include:

• Acetaminophen
• Ibuprofen
• Naproxen

These may also help you stave off postherpetic neuralgia, which is a burning pain that some people get after the rash and blisters of shingles go away.

If you have severe pain after the rash clears or an infection during your shingles outbreak, your doctor might prescribe:

Capsaicin cream: Be careful not to get it in your eyes.

A numbing medicine: You might get lidocaine (Lidoderm, Xylocaine) for pain. It can come in a variety of forms, such as creams, lotions, patches, powders, and sprays, among others.

Antibiotics: You might need these medicines if bacteria infect your skin and rash. But if bacteria aren’t involved, then antibiotics won’t help.

Tricyclic antidepressants: These medications might help ease the pain that lingers after your skin has healed, such as amitriptyline, desipramine (Norpramin), and nortriptyline (Pamelor). They may also help you with depression, if you have that in addition to shingles. Your doctor can tell you what the risks and benefits are.

Some studies show that various alternative treatments, from acupuncture to supplements, can offer relief. The research isn’t complete, but some show promise. Check with your doctor before you try any of these: 

TENS (transcutaneous electrical nerve stimulation). This therapy uses tiny electrical pulses to relieve pain. A TENS unit is about the size of a smartphone and comes with small patches called electrodes. You put them over the painful area and turn the unit on and off as your pain comes and goes. 

Traditional Chinese medicine. These treatments aim to restore balance in your body. They include acupuncture, the ancient practice of inserting very thin needles into your skin at specific points. Also, moxibustion and cupping, two types of heat therapy, are supposed to draw out toxins. These treatments may be done in combination.

Creams and other skin treatments. A mixture of liquid dimethyl sulfoxide (DMSO) and idoxuridine, an antiviral drug, may reduce swelling and the number of blisters you have when you put it on your rash. And chlorophyll, the chemical that gives plants their green color, is also used directly on the rash as a cream or saline solution. 

Supplements. You’ll find a long list of herbs, pills, and oils that claim to relieve shingles. Most have no research to back them up, but there are a couple of exceptions. Papain, a protein found in papayas, is sold in capsules. And manuka and clover honeys can be put directly on your skin. Very early studies on both show they might be helpful. 

There aren’t home remedies for shingles. But there are things you can do to help your skin heal.

Keep the affected area clean, dry, and exposed to air as much as possible.

The itching can be maddening at times, but try not to scratch or burst the blisters.

Soothe the rash. Your top priority is to find relief for the pain and itching that the rash causes. You might try:

1. Oatmeal baths. Dip into a cool tub of water. For extra relief, add colloidal oatmeal, which is made of oats that have been ground to a very fine powder. This soothing bath may help calm your itching.

2. Cold compresses. Run a washcloth under cool water and place it on your blisters for about 20 minutes at a time. Not only can this relieve itching, it also keeps your blisters clean. That can help you avoid a skin infection. If your blisters aren’t oozing anymore, stop using cold compresses. And if you are using any creams or patches on your rash, don’t use compresses at the same time.

3. Loose clothing. You’ll likely find that relaxed fits made from natural fibers, such as cotton or linen, give you more comfort. If you need to cover your blisters, avoid bandages that might stick to your rash.

4. Calamine lotion. Treat your skin with this smooth, cool, and soothing balm.  

Treat your body and mind. You can get worn down mentally when you’re in constant pain. Stress can make it seem even worse. Self-care starts with treating your rash, but don’t stop there. Your mind and emotional state need to be cared for as well. 

Stick with good habits: Your body is working hard to fight the varicella zoster virus that causes shingles. To give it the right support, you can:

• Eat nutritious food and have regular meals. Ask someone to make a run to the grocery store for fresh fruit and such if you’re not up for it.
• Try to get a good night’s sleep and rest anytime you need to.
• Do gentle exercises, such as walking or stretching. Light activity can help take your mind off the pain. Keep it simple though, and check with your doctor if you’re trying something new.

Distract yourself. Sometimes, the best thing you can do is to put your focus elsewhere. Here are a few things to try:

• Call a friend.
• Listen to music that relaxes you.
• Read a book.
• Watch a favorite movie.
• Work on hobbies you enjoy.

Keep calm. Relaxation can be a big help. With a calmer mind, you can better handle your discomfort. You may want to try:

• Meditation
• Tai chi
• Walking (but keep your blisters covered)
• Yoga

Experiment with these strategies as you get through your shingles outbreak. Different things can help depending on how severe your symptoms are and how you feel from day to day.

There are two shingles vaccines. Shingrix is the recommended vaccine. Zostavax is no longer avilable in the U.S.

Who should get it: The CDC recommends that you get this vaccine if you’re a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. If you have had the Zostavax vaccine, you can also get Shingrix.

How many shots do you need? You would need two shots for Shingrix: One at first, with a follow-up in 2 to 6 months.

What it does: Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.

I never had chickenpox. Do I still need the shingles vaccine? Yes, you do. Shingrix is recommended for everyone age 50 or older, whether or not you remember having had chickenpox.

If I’ve had shingles, can I still get the vaccine? Yes. It may help prevent another bout of shingles later on. If you have shingles right now, you should wait until the rash is gone before you get vaccinated.

What are the side effects? The most common side effects with Shingrix include pain and swelling where the needle went in you skin, muscle pain, tiredness, headache, chills, fever, and stomach troubles. With any vaccine, there is a chance of a severe allergic reaction. 

Don’t get the Shingrix vaccine if:

• You’re allergic to any of the ingredients.
• You’re pregnant or nursing.
• You have tested negative for immunity to the chickenpox virus. Ask your doctor about the chickenpox vaccine instead.
• You have shingles now.

Top Picks

list of top 5 inexpensive and effective ointments and tablets according to KP with reviews and prices

Chicken pox leads to lifelong infection with the human herpes virus type 3, which can at any time become active and lead to the development of shingles ¹ . The trigger mechanism is often exacerbations of chronic diseases, taking immunosuppressive drugs, intoxication, infections or reduced immunity ² . People of any age can get shingles, but it is most common in people over 50 years of age.

What is shingles

Basically, shingles is the awakening of a dormant viral infection in the body. Outside of an exacerbation, the virus “lurks” in the posterior roots of the spinal nerves ² . That is why, during an exacerbation, a bubble “girdle” rash appears along the sensory nerves, accompanied by fever.

Shingles symptoms

The main symptoms of shingles include:

• general malaise;
• fever;
• slight itching;
• tingling sensation;
• sharply expressed burning pains in the place of future rashes;
• chickenpox-like rash.

The most common complications of herpes zoster are neuralgic disorders: pain, itching, burning and tingling, which persist for a long time after the onset of the rash ³ . The pains are paroxysmal in nature, aggravated at night.

No special treatment is required for herpes zoster. In most cases, therapy is to reduce pain, prevent complications and speed up recovery ³ . Herpes zoster drugs are usually given to elderly and debilitated patients.

List of top 5 inexpensive drugs for the treatment of herpes zoster in adults according to KP

The most commonly used drugs for the treatment of herpes zoster in adults are from the following pharmacological groups:

• antivirals;
• systemic interferons;
• topical antiseptics;
• non-steroidal anti-inflammatory drugs;
• preparations with central analgesic action.

The therapeutic effect of these drugs is different. Antiviral agents help the body fight the virus, interferons strengthen the immune system, antiseptics prevent infections from developing at the site of the rash, non-steroidal anti-inflammatory drugs reduce pain.

Important! All drugs have side effects and contraindications. Our material is an overview and does not serve as a guide to action. Before buying drugs, consult your doctor.

Antivirals

Antivirals are included in clinical guidelines for the diagnosis and treatment of herpes zoster ⁴ . As the name implies, these drugs suppress the activity of the causative agent of the disease – the herpes virus. They block the synthesis of viral DNA and lead to cell death. As a result, the number of viral particles in the body is reduced, which promotes recovery and reduces the risk of complications.

Antiviral drugs for shingles help to reduce the number of rashes, reduce pain in the acute phase of the disease, accelerate the formation of “crusts” and the healing process ⁵ .

Clinical guidelines list three antiviral drugs, acyclovir, famciclovir and varaciclovir.

Contraindications for use depend on the specific drug, but are usually children and breastfeeding. There are groups of patients who should be careful when taking antiviral agents. Such patients include, for example, pregnant women, the elderly and those with impaired renal function.

Systemic Interferons

Interferons are protein molecules that are involved in our immune system. Interferons have immunomodulatory activity and help the body fight viral infection and its consequences.

For the treatment of herpes zoster in adults, interferon gamma is administered by subcutaneous injection ⁴ . In addition, interferon preparations are used in the complex therapy of genital herpes virus infection, hepatitis C, anogenital warts, HIV and AIDS ⁶ .

Possible contraindications for for use: autoimmune diseases, diabetes mellitus, individual intolerance, pregnancy.

Antiseptics for external use

This is the well-known “brilliant green”, as well as fucorcin, chlorhexidine and methylene blue solution. Antiseptic agents are applied directly to the rash area with a cotton swab. These medications help dry out the blisters of the rash and prevent fungi and bacteria from infecting damaged skin.

For bullous eruptions, it is recommended to first open the blisters with sterile scissors, and then treat with antiseptics ⁴ . When using antiseptic agents, a short-term burning sensation and pain at the site of application is possible.

Possible contraindications : pregnancy, lactation, individual intolerance to the components.

Non-steroidal anti-inflammatory drugs (NSAIDs)

Drugs from this group are prescribed to relieve pain, which often bothers patients with herpes zoster ⁴ . This condition has been termed “herpes-associated pain”. In some patients, pain does not last long (about 30 days), and in 10–20% of those who recover, postherpetic neuralgia develops, which can last for months and years ⁷ .

Treatment of acute pain begins with first-line drugs, which include paracetamol and NSAIDs ⁷ . It is these drugs that are indicated in the clinical guidelines, as they help reduce pain and inflammation, reduce fever.

NSAIDs have a lot of contraindications and side effects, the main of which are negative effects on the gastrointestinal tract and the cardiovascular system. Therefore, the choice of the drug for a particular patient is the task of the doctor.

Central analgesics

This group includes tricyclic antidepressants and anticonvulsants ⁴ . They are most often prescribed to patients with postherpetic neuralgia, which is accompanied by constant or intermittent pain – pressing, dull, stabbing or burning. This is the so-called neuropathic pain associated with damage to the peripheral nervous system ⁷ .

• Anticonvulsants or anticonvulsants (gabapentin and pregabalin) help reduce pain, are well tolerated, and have little to no interaction with other drugs ⁸ .

They have few contraindications for , usually children’s age and individual intolerance.

• Tricyclic antidepressants (eg, amitriptyline) increase the concentration of serotonin and norepinephrine in the body and thus help reduce the subjective perception of pain. In addition, they have an anti-anxiety effect, reduce the manifestations of depression ⁹ .

Among the contraindications to the use of tricyclic antidepressants are children’s age, pregnancy, lactation, angle-closure glaucoma and others.

How to choose drugs for the treatment of herpes zoster

The choice of drug for the treatment of herpes zoster is best left to the doctor who will prescribe the remedy, based on the severity of the disease and the severity of the symptoms.

– Herpes zoster is a rather formidable dermatological disease associated with the entry of the herpes virus into the human body. There are a large number of types of herpes, in this case the causative agent is type 3 herpes (herpes zoster). Only timely treatment is the key to a quick recovery and overall recovery of the human body. According to dermatological standards, anti-inflammatory, antiviral and pain medications are primarily used for the treatment of herpes zoster, notes PhD, doctor, cosmetologist-dermatologist, trichologist Tatyana Kostsova .

Reviews of doctors about drugs for the treatment of herpes zoster

Antiviral drugs with active ingredients acyclovir, valaciclovir and famciclovir are used to treat herpes zoster.

Popular questions and answers

The most popular questions about herpes zoster and its treatment are answered by Tatyana Kostsova, Ph.D., cosmetologist-dermatologist, trichologist.

Why is shingles dangerous?

– Herpes zoster (shingles) is dangerous because in addition to itchy and unpleasant rashes on the skin, it provokes very strong painful sensations. The danger lies in the fact that, acting on the intercostal nerves, herpes zoster retains this pain for long days, weeks and even months. At the same time, patients can be prescribed not only conventional painkillers, but even narcotic drugs.

How long does shingles last?

– On average, the disease on the skin disappears within 5-15 days, but if it is skin rashes without neurological symptoms. Then we can assume that the patient got off easy enough. If, after the passage of rashes on the skin, a pronounced pain syndrome persists, this requires a wider and more aggressive treatment.

Is it possible to smear herpes zoster with brilliant green?

– Yes, of course, shingles can be treated with aniline dyes. It dries well and provides an antiseptic effect. However, this often results in clothing being dyed, which is why many refuse to use aniline dyes or brilliant green.

When can I swim if I have shingles?

– Swimming or taking water procedures for shingles is possible only when all blisters on the skin have completely disappeared. The fact is that with water, this disease quickly spreads over the skin and causes a lot of trouble to the patient. Therefore, after the bubble rashes have subsided, the doctor allows you to take a quick shower without a washcloth and an aggressive effect on the rash zone.

Can you get shingles from another person?

– It is almost impossible to catch shingles from another person. But if your immune system is significantly weakened, then cross-infection is possible, and blisters may appear in the form of herpes simplex. But it is necessary to isolate young children from a patient with shingles. Because the causative agent of this disease is a filterable virus that belongs to the varicella-zoster virus group. And small children, when in contact with an infected person, can get chickenpox.

Sources:

1. Guzovskaya T.S. and other Epidemiological and clinical characteristics of herpes zoster // Problems of health and ecology. – 2008. – no. 3 (17). – S. 133-137. https://cyberleninka.ru/article/n/epidemiologicheskaya-i-klinicheskaya-harakteristika-opoyasyvayuschego-lishaya/
2. Shakov I.M. Herpes zoster // Attending physician. – 2011. – no. 10. – S. 14-14. https://www.elibrary.ru/download/elibrary_21801199_70435464.pdf
3. Lavrov V.F. and others. Chicken pox and shingles: features of morbidity and clinical manifestations // Epidemiology and infectious diseases. Topical issues. – 2011. – no. 3. – S. 54-54. https://www.elibrary.ru/download/elibrary_17098182_11129891.pdf
4. Herpes zoster. Clinical guidelines. https://diseases.medelement.com/disease/%D0%BE%D0%BF%D0%BE%D1%8F%D1%81%D1%8B%D0%B2%D0%B0%D1%8E%D1 %89%D0%B8%D0%B9-%D0%B3%D0%B5%D1%80%D0%BF%D0%B5%D1%81-%D1%80%D0%B5%D0%BA%D0 %BE%D0%BC%D0%B5%D0%BD%D0%B4%D0%B0%D1%86%D0%B8%D0%B8-%D1%80%D1%84/15241
5. Acyclovir. Description of the active ingredient.
6. Interferon gamma. Description of the active ingredient.
7. Journal “Attending Doctor” for 2011. Filatova E. G. Herpes zoster and herpes-associated pain. https://www.lvrach.ru/2011/05/15435185
8. Gabapentin. Description of the active ingredient.
9. Amitripilin. Description of the active ingredient.

Herpes zoster medicine: effective treatments

Contents

• 1 Herpes zoster medicine: effective treatments
  • 1.1 Herpes zoster: symptoms and treatment
    • 1.1.1 What is shingles?
    • 1.1.2 Treatment of herpes zoster
  • 1.2 Manifestations of the acute phase of herpes zoster
    • 1.2.1 Main symptoms:
  • 1.3 Why is early treatment of herpes zoster important?
    • 1.3.1 1. Preventing complications
    • 1.3.2 2. Reducing the risk of infection of loved ones
    • 1.3.3 3. Reducing the period of illness
  • 1.4 Essential medicines for herpes zoster
    • 1.4.1 Acyclovir
    • 1.4. 2 Valaciclovir
    • 1.4.3 Famciclovir
  • 1. 5 Benefits of our herpes zoster drug
  • 1.6 A sure way to get rid of shingles forever!
    • 1.6.1 How to use the medicine
  • 1.7 Recommendations for the treatment of herpes zoster
    • 1.7.1 What is herpes zoster?
    • 1.7.2 How to treat shingles?
    • 1.7.3 Benefits of our herpes zoster medicine:
    • 1.7.4 Instructions for use:
  • 1.8 Our customer reviews of our herpes zoster medicine
    • 1.8.1 Tatiana:
    • 1.8.2 Dmitry:
    • 1.8.3 Hope:
  • for shingles and where to buy it?
  • 1.11 Related videos:
  • 1.12 Q&A:
    • • 1.12.0.1 What side effects can occur with this medicine?
      • 1.12.0.2 Can this medicine be used during pregnancy and breastfeeding?
      • 1.12.0.3 How often should I take this medicine?
      • 1.12.0.4 How long does it take for a drug to work?
      • 1.12.0.5 How should I store this medicine?
      • 1.12.0. 6 What dosage forms are available for this drug?

Find out about herpes zoster medications, causes, and prevention. We will help with the choice of effective treatment and provide useful tips for a quick recovery.

Shingles is an infectious disease that causes blisters on the skin, which then turn into crusts. Treating shingles can be a long and frustrating process, but there is an effective medication that shortens the time it takes to get sick and helps avoid complications.

Our herpes zoster medicine contains an active ingredient that inhibits the replication of the virus that causes the disease. Thanks to this, the medicine contributes to the rapid healing of rashes and skin lesions.

Do not waste time looking for an effective remedy for shingles – our medicine will help you quickly get rid of this unpleasant disease.

Our herpes zoster remedy has already helped many patients to get rid of unpleasant symptoms and prevent complications. Order it now and return your skin to health and beauty!

Shingles: symptoms and treatment

What is shingles?

Shingles is a skin infection caused by human herpesvirus type 3. It is characterized by the appearance of a group of blisters on the skin along one of the nerve trunks. Most of the time it occurs on the body, but it can also occur elsewhere.

The main symptom of shingles is a painful, itchy, burning rash that turns into red fluid-filled blisters. After a few days, these blisters begin to dry out and form crusts. In some cases, nothing else happens – the infection subsides and the skin begins to heal. However, if you don’t see a doctor early in the onset of symptoms, shingles can get worse, causing a number of serious complications.

Herpes zoster treatment

Treatment of shingles is usually aimed at reducing symptoms and relieving pain. To achieve this, it is advisable to prescribe aloe leaves, which can be bought at *** or ***. But if you have a high sensitivity, or if you have wounds or cuts on your skin, you may need to stop this treatment. Instead, talk to your doctor about possible medications that can help you repair your skin quickly and effectively while keeping you as healthy as possible.

In addition, follow some simple guidelines to speed up the healing process and prevent the infection from spreading to other areas of your body. For example:

• Wear clothing that won’t irritate your skin or cause further irritation.
• Avoid close contact with people who may be in a risk group.
• Avoid scratching or touching the affected part of the skin so as not to infect other areas of your body.
• Ventilate the places where you are, as the humid environment encourages the virus to multiply.

Remember that in most cases shingles is under control and can be easily avoided if you follow simple guidelines. But if you notice symptoms that indicate the possibility that you have this disease, you need to see a specialist as soon as possible in order to most effectively recover and return to normal life.

Manifestations of the acute phase of herpes zoster

Main symptoms:

1. Intense red rash on the skin
2. Acute burning, itching and pain at the site of the rash
3. Fluid-filled blisters that eventually burst , forming crusts and wounds
4. Swelling and redness of lymph nodes near affected areas of the skin

Shingles is a viral disease caused by the Varicella-Zoster virus, also known as chicken pox. It manifests itself in the form of a rich red rash on the skin, which is often accompanied by sharp pains and burning. The disease is spread by airborne droplets and is highly contagious.

For the treatment of herpes zoster, special drugs have been developed that can quickly anesthetize and accelerate the healing process of wounds and affected areas of the skin. It is best to start treatment in the acute phase of the disease, as this will allow you to quickly get rid of unpleasant symptoms and prevent complications.

Why is early treatment of herpes zoster important?

1.

Prevention of complications

Shingles is caused by a virus that attacks the nerves and skin. If you do not start treatment, the disease can progress and affect all new areas of the skin. The worst complication is post-herpetic neuralgia, a severe pain syndrome that remains after the illness has passed.

2. Reducing the risk of infecting loved ones

Shingles is a highly infectious disease. Early treatment allows you to get rid of the virus faster and reduce the risk of infecting loved ones.

3. Shortening the period of illness

Treating herpes zoster at an early stage can shorten the period of illness and avoid discomfort. However, early treatment of herpes zoster helps to avoid complications and reduce the number of medications that need to be taken in the future.

Conclusion: Early treatment of herpes zoster has several advantages and helps to avoid unwanted complications. If you suspect that you have shingles, see your doctor and start treatment as soon as possible.

Essential herpes zoster medicines

Aciclovir

Aciclovir is an antiviral drug used to treat shingles. The drug reduces the intensity of pain and itching in the affected areas of the skin, and also speeds up the healing process. It is applied to internal and external application. The medicine is prescribed depending on the degree of development of the disease and the corresponding symptoms.

Valaciclovir

Valaciclovir is a new generation of antiviral drugs that has been developed to better control shingles. The drug eliminates not only the main symptoms of the disease, but also prevents its recurrence. The use of valaciclovir inside accelerates the healing of skin rashes and reduces the risk of complications.

Famciclovir

Famciclovir is a modern antiviral medicine used to treat and prevent herpes zoster. The drug prevents the development and growth of the virus, which reduces the likelihood of recurrence of the disease. Famciclovir accelerates the healing of inflamed skin and reduces the intensity of pain.

• Herpes zoster should be treated under medical supervision.
• Do not self-medicate.
• In the event of a recurrence of the disease, you should consult a doctor to adjust the treatment.
• Herpes zoster drugs are prescribed only after diagnosis and assessment of the degree of development of the disease.

Benefits of our herpes zoster drug

• Effectiveness: our drug quickly and effectively eliminates the symptoms of herpes zoster, thanks to a unique composition and more than 10 years of development experience.
• Safety: the drug does not contain hormones and antibiotics, which eliminates the possibility of side effects and the development of addiction to the drug.
• Pleasant fragrance: our preparation has a light and pleasant fragrance that does not cause discomfort when used.
• Ease of use: medication is easy to apply to the skin and absorbs quickly without leaving a greasy residue.
• Availability: our drug is sold in all pharmacies of the country at an affordable price.

Don’t suffer from shingles! Contact us for help and reliably get rid of this unpleasant disease.

A reliable way to forget about shingles forever!

How to use the medicine

A huge number of people all over the world fall ill with this unpleasant disease. To combat shingles, you must use a quality and proven medicine.

The method of using the drug is very simple and does not require special skills. Simply apply the medicine to the diseased area of ​​\u200b\u200bthe skin and rub it in for several minutes. Repeat the procedure twice a day until the symptoms disappear completely.

Our herpes zoster remedy is the best value for money. It not only helps to get rid of unpleasant symptoms, but also quickly restores the skin after an illness.

Don’t suffer from shingles a day longer – join the hundreds of people who have already been convinced of the effectiveness of our medicine!

Recommendations for the treatment of herpes zoster

What is herpes zoster?

Shingles is a skin infection caused by a parasitic fungus. It manifests itself in the form of a belt rash on the body, which is accompanied by extreme itching and burning.

How to treat shingles?

Treatment of shingles requires a course of antibiotics and special ointments and creams. Our herpes zoster remedy contains an active ingredient that quickly and effectively fights the parasitic fungus, relieving the symptoms of shingles and speeding up the healing process.

Benefits of our herpes zoster medicine:

• Fast acting
• Highly effective
• Convenient and easy to use
• No side effects or allergic reactions
• Excellent value for money 9002 0

Instructions for use:

Remember that at the first sign of herpes zoster, treatment should be started immediately. Our herpes zoster remedy is a reliable assistant in the fight against this disease!

Customer reviews of herpes zoster medicine

Tatiana:

I have been suffering from herpes zoster for several years now and no medicine has helped me get rid of it. However, after I started using your medicine, the results became noticeable already on the third day. The skin stopped peeling and the itching stopped. Thank you very much!

Dmitry:

I couldn’t get rid of shingles until I tried your medicine. Within two weeks of use, my skin was completely clear! No side effects were observed, the medicine is easy to use. Highly recommend!

Hope:

I struggled with shingles for a long time and was desperate when nothing worked. In the end, I decided to try your medicine and the results were amazing! Not only did she quickly get rid of lichen, but the skin looks much better than before. I’m glad I took the risk and tried it!

	Tatyana: I have been suffering from shingles for several years now, and no medicine has helped me get rid of it. However, after I started using your medicine, the results became noticeable already on the third day. The skin stopped peeling and the itching stopped. Thank you very much!
	Dmitry: I couldn’t get rid of shingles until I tried your medicine. Within two weeks of use, my skin was completely clear! No side effects were observed, the medicine is easy to use. Highly recommend!
	Hope: I struggled with shingles for a long time and was desperate when nothing worked. In the end, I decided to try your medicine and the results were amazing! Not only did she quickly get rid of lichen, but the skin looks much better than before. I’m glad I took the risk and tried it!

Facts about our herpes zoster remedy

Herpes zoster is a very common condition that can be caused by a variety of factors. However, the main causes of its appearance are stress, a lowered immune system and infection with the herpes virus.

The medicine we offer is made from natural ingredients and has no side effects. It is compatible with other drugs, making it versatile and suitable for use in all conditions.

Take our shingles medicine and forget about the disease, enjoying a healthy and beautiful body!

• Rapid relief of the unpleasant symptoms of herpes zoster;
• Natural ingredients and no side effects;
• Versatility and compatibility with other medicines.

Order our shingles medicine today and enjoy clear skin!

Is there a cure for herpes zoster and where can I buy it?

Shingles is a viral disease that can lead to erythema and blistering of the skin. It causes severe discomfort and can significantly affect the quality of life.

There are many medicines that can help you cope with this unpleasant disease. However, to obtain the maximum effect, it is necessary to choose the right drug and complete the full course of treatment.

Are you sure you want to buy a cure for herpes zoster? Contact the pharmacy, where you can always get qualified advice from a pharmacist and choose the most effective medicine.

• There are many herpes zoster medicines on the market today and it is important to choose the right one.
• Consultation with a pharmacist will allow you to choose a medicine, taking into account all the individual characteristics of the patient.
• In our pharmacy store you will always find a wide range of herpes zoster medicines.
• We offer only certified medicines from leading manufacturers at the most affordable prices.

Don’t endure discomfort and don’t put off treatment until later – contact us right now and we will help you find the best cure for shingles!

Related videos:

Q&A:

What are the possible side effects of this medicine?

Possible side effects may include: burning, itching, redness of the skin; dizziness, nausea, vomiting; pain in muscles and joints. If you experience any discomfort after using the medicine, contact your doctor.

Can this medicine be used during pregnancy and breastfeeding?

Always consult your doctor before using this medicine if you are pregnant or breastfeeding. He will determine if the medicine can be used in your particular situation and at what dosage.

How often should I take this medicine?

The dosage and frequency of administration depend on the degree of development of the disease and are recommended only by a doctor. Never change the dosage yourself! Follow all doctor’s recommendations.

How long does it take for the medicine to work?

The effect of the drug usually begins to appear in the first few days after the start of treatment. However, the duration of treatment and the effectiveness of the drug may vary in different patients depending on the degree of development of the disease.

How should I store this medicine?

Store the medicine in a cool and dry place, away from direct sunlight and heat.