Shingles - aftercare
Herpes zoster - treatmentShingles is a painful, blistering skin rash that is caused by the varicella-zoster virus. This is the same virus that causes chickenpox. Shingles is also called herpes zoster.
Shingles
Shingles is a painful, blistering skin rash. It is caused by the varicella-zoster virus, a member of the herpes family of viruses. This is the viru...
Read Article Now Book Mark ArticleChickenpox
Chickenpox is a viral infection in which a person develops very itchy blisters all over the body. It was more common in the past. The illness is ra...
Read Article Now Book Mark ArticleWhat to Expect
An outbreak of shingles usually follows the following course:
- Blisters and pimples appear on your skin and cause pain.
- A crust forms over the blisters and pimples.
- In 2 to 4 weeks, the blisters and pimples heal. They rarely come back.
- Pain from shingles lasts for 2 to 4 weeks. You may have tingling or a pins-and-needles feeling, itching, burning, and a deep pain. Your skin may be very painful when it is touched.
- You may have a fever.
- You may have short-term weakness of certain muscles. This is rarely long term.
To treat shingles, your health care provider may prescribe:
- A medicine called an antiviral to fight the virus
- A medicine called a corticosteroid, such as prednisone
- Medicines to treat your pain
You may have postherpetic neuralgia (PHN) pain. This is pain that lasts longer than a month after symptoms of shingles start.
Postherpetic neuralgia
Postherpetic neuralgia is pain that continues longer than a month after a bout of shingles. This pain may last from months to years. Shingles is a p...
Read Article Now Book Mark ArticleSkin Care and Itch Relief for Shingles
To relieve itching and discomfort, try:
- A cool, wet compresses on the affected skin
- Soothing baths and lotions, such as colloidal oatmeal bath, starch baths, or calamine lotion
- Zostrix, a cream that contains capsaicin (an extract of pepper)
- Antihistamines to reduce itching (taken by mouth or applied to the skin)
Antihistamines
An allergy is an immune response, or reaction, to substances (allergens) that are usually not harmful. In someone with allergies, the immune respons...
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Keep your skin clean. Throw away bandages you use to cover your skin sores. Throw away or wash in hot water clothing that has contact with your skin sores. Wash your sheets and towels in hot water.
While your skin sores are still open and oozing, avoid all contact with anyone who has never had chickenpox, especially pregnant women.
Managing Pain
Rest in bed until your fever goes down.
For pain, you can take a type of medicine called nonsteroidal anti-inflammatory drugs (NSAIDs). You do not need a prescription for some NSAIDs.
- Examples of NSAIDs are ibuprofen (such as Advil or Motrin) and naproxen (such as Aleve or Naprosyn).
- If you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or bleeding, talk with your provider before using these medicines.
You may also take acetaminophen (such as Tylenol) for pain relief. If you have liver disease, talk with your provider before using it.
You may be given a narcotic pain reliever. Take it only as directed. These medicines can:
Narcotic pain reliever
Narcotics are also called opioid pain relievers. They are only used for pain that is severe and is not helped by other types of painkillers. When u...
Read Article Now Book Mark Article- Make you sleepy and confused. When you are taking a narcotic, do not drink alcohol or use heavy machinery.
- Make your skin feel itchy.
- Cause constipation (not being able to have a bowel movement easily). Try to drink more fluids, eat high-fiber foods, or use stool softeners.
- Make you feel sick to your stomach. Try taking the medicine with food.
When to Call the Doctor
Contact your provider if:
- You get a rash that looks or feels like shingles
- Your shingles pain is not well-managed
- Your pain symptoms do not go away after 3 to 4 weeks
References
Cohen J. Varicella-zoster virus (chickenpox, shingles). In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 346.
Dinulos JGH. Warts, herpes simplex, and other viral infections. In: Dinulos JGH, ed. Habif's Clinical Dermatology: A Color Guide in Diagnosis and Therapy. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 12.
Whitley RJ. Chickenpox and herpes zoster (varicella-zoster virus). In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 136.
Review Date: 4/18/2024
Reviewed By: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.