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Understanding Shingles -- Treatment

What Are the Treatments for Shingles?

Although you can take steps to shorten the duration of a shingles outbreak, the virus must often simply run its course. Postherpetic neuralgia is difficult to manage and can last months or even years in rare cases. So the best approach is early and immediate treatment. Also, early medical attention may prevent or reduce the scarring that shingles can cause.

Conventional Medicine for Shingles

Your doctor may suggest medications to reduce inflammation, ease pain, and control your shingles infection. They include:

  • Painkillers, such as anti-inflammatory drugs like ibuprofen or naproxen, or acetaminophen, can relieve mild pain. Antiviral drugs, such as acyclovir, valacyclovir (Valtrex), or famciclovir (Famvir), may help stop progression of the rash, especially if used within 72 hours of the blister breakout. These drugs may also help stave off the painful after-effects of shingles known as postherpetic neuralgia.
  • Benzoin, available over the counter, may protect irritated skin when applied to unbroken lesions.
  • Antibiotics might become necessary if the area becomes infected by bacteria.
  • Tricyclic antidepressants or seizure medication may be prescribed for the pain that lingers after lesions have healed. Antidepressants may also help with depression that can occur with the onset of shingles or as a result of the lingering pain.

Steroids have not been shown to reduce the incidence of postherpetic neuralgia and can increase the risk of bacterial infection of the affected area. They are not routinely prescribed for zoster outbreaks.

Home Remedies for Shingles

  • Keep the affected area clean, dry, and exposed to air (without clothes covering it) as much as possible. Don't scratch or burst the blisters. If the pain keeps you from sleeping, try snugly binding the area with an elastic sports bandage.
  • For the first three or four days, try ice for 10 minutes on, five minutes off, every few hours. Later, apply cool, wet compresses soaked in aluminum acetate, available over the counter in the form of astringent solution, powder packets, or effervescent tablets.
  • To cut down on itching, ask your pharmacist to mix 78% calamine lotion with 20% rubbing alcohol, 1% phenol, and 1% menthol. You can apply this mixture continuously until your blisters scab over.

How Can I Prevent Shingles?

The FDA has approved a shingles vaccine called Zostavax. The shingles vaccine is now recommended for everyone age 60 and older and may even be helpful for those as young as 50 and up. For this age group, the vaccine cuts the occurrence of shingles by about half. In those who are vaccinated and still develop shingles, the painful period is reduced. This is a great development because one out of five people who have had chickenpox will eventually get shingles.


WebMD Medical Reference

Reviewed by Lisa B. Bernstein, MD on March 18, 2015

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