Treatment FAQ

what is most prescribed medicine treatment for shingles

by Michale Lynch Published 2 years ago Updated 2 years ago
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Shingles treatment
Shingles is often treated with an antiviral medicine. These medicines can reduce the severity and duration of your symptoms. Acyclovir, famciclovir, or valacyclovir are commonly prescribed.
Feb 23, 2021

Medication

Self-care

Nutrition

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What do doctors usually prescribe for shingles?

Several antiviral medicines—acyclovir, valacyclovir, and famciclovir—are available to treat shingles and shorten the length and severity of the illness. These medicines are most effective if you start taking them as soon as possible after the rash appears.

Which is the most commonly prescribed first line treatment for shingles?

Aciclovir is the recommended first-line antiviral treatment for shingles in patients who are immunocompromised, however, treatment should be given for ten days instead of seven. Valaciclovir is an alternative.

How long does it take for valacyclovir to work on shingles?

Valacyclovir is usually prescribed for seven days for shingles, with a typical dosage of 1,000 mg three times per day. Just like with HSV-1 and HSV-2, it's important to start treatment as soon as you notice shingles symptoms.

What is the most painful stage of shingles?

Typically, the peak pain of shingles is felt within 4 or 5 days after the first symptoms develop, and it comes along with a blistering rash. As the blisters scab over, the pain usually starts to disappear. In some cases, the pain does not go away. This is known as a condition called postherpetic neuralgia.

Is Valtrex necessary for shingles?

Although valacyclovir will not cure shingles or genital herpes, it does help relieve the pain and discomfort and helps the sores heal faster. Valacyclovir is available only with your doctor's prescription.

What is the best pain relief for shingles?

Shingles can cause severe pain, so your doctor also may prescribe:Capsaicin topical patch (Qutenza)Anticonvulsants, such as gabapentin (Neurontin)Tricyclic antidepressants, such as amitriptyline.Numbing agents, such as lidocaine, delivered via a cream, gel, spray or skin patch.More items...•

What should I avoid while taking valacyclovir?

What drugs and food should I avoid while taking Valtrex (Valacyclovir)? Avoid sexual intercourse or use a latex condom to help keep you from spreading the herpes virus to others. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes.

What are the long term side effects of valacyclovir?

Taken long term, particularly in people with existing kidney issues and/or inadequate hydration, valacyclovir can lead to renal toxicity and kidney failure. It can also lead to inflammation of the liver in certain people, particularly those with existing liver health issues.

What happens if you take valacyclovir everyday?

A new study shows that daily therapy with the antiviral drug Valtrex significantly lowers the risk of transmitting genital herpes among heterosexual couples in which one partner is infected with the herpes simplex virus type 2 (HSV-2).

How painful is shingles on a scale of 1 to 10?

“Shingles is extremely painful," Wigand-Bolling said. “On a scale from one to 10, most patients will say the pain ranges from six to 10.” Between 1 and 5 days after the first symptoms occur, a rash will develop in the affected area.

How long do you feel unwell with shingles?

How long does shingles last? Most cases of shingles last three to five weeks. The first sign is often burning or tingling pain; sometimes it includes numbness or itching on one side of the body. Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.

When is it too late to take antivirals for shingles?

Valacyclovir works best if it is used within 48 hours after the first symptoms of shingles or genital herpes (e.g., pain, burning, or blisters) begin to appear. For recurrent outbreaks of genital herpes, valacyclovir works best if it is used within 24 hours after the symptoms begin to appear.

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment may include medication and vaccination.
Medication

Antivirals: Drugs used to kill a virus or suppress its ability to replicate.

Acyclovir . Valacyclovir . Famciclovir


Anti-inflammatory drugs: Drugs used to manage inflammation due to the infected virus.

Ibuprofen . Diphenhydramine . Capsaicin

Self-care

Always talk to your provider before starting anything.

Following home treatments can help relieve the symptoms, these include:

  • Rest – relax body and mind.
  • Apply cold compress to the rashes to reduce the pain.
  • Apply Calamine lotion on rashes to reduce itching.

Nutrition

Foods to eat:

  • Foods rich in gluten like wheat germ, brewer's yeast, eggs, and whole grains.
  • Eat green, orange, and yellow vegetables at every meal.
  • green leafy vegetables are also good sources of calcium and magnesium, which will help heal your nerve endings.

Foods to avoid:

  • Red meat, fried Foods, or chocolate and carbonated beverages (not even fizzy water) or drinks containing caffeine.
  • Stay away from refined sugar products, including cookies, cakes, sweet baked goods, and sodas.

Specialist to consult

Ophthalmologist
Specializes in the medical and surgical care of the eyes.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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