Shingles (herpes zoster) is caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox.
Symptoms
Tingling or burning, often with pain, and then a rash with fluid-filled blisters. The rash is usually on one side, around the torso, face, or eyes. Other symptoms include fever, fatigue, headache, itching or irritation.
Treatments
Antivirals such as acyclovir and valacyclovir are the first line of treatment to shorten the duration of symptoms, reduce pain, and lower the risk of complications if started within 72hrs of the rash appearing.
Pain killers such as Paracetamol or Ibuprofen may reduce pain and inflammation. If insufficient, stronger prescription pain relief or nerve pain medications can be prescribed.
Keep the rash clean and dry to prevent bacterial infections by gently washing the area with mild soap and water; avoid scratching the blisters and use sterile dressings to protect the skin. To manage the itch, try antihistamines and cool compresses.
Preventing shingles through vaccination
The Shingrix vaccine is effective and recommended for adults over 50, especially if they had chickenpox as a child. Younger adults with weakened immune systems should also consider vaccination.
Our Pharmacist Vaccinator can administer the vaccine and it is subsidised for people in the year they are 65.
Postherpetic Neuralgia
A complication of shingles, PHN is a condition where nerve pain persists long after the rash has healed. This can last for months or years and is more common in older adults. Treatment may include nerve pain medications and topical treatments like capsaicin cream.
Seek Medical Attention
If the rash is near the eyes or affecting vision; pain is severe; symptoms persist or worsen despite treatment and if there are signs of a bacterial infection.
Our pharmacists at Ahuriri Pharmacy are available to answer your health questions. Pop in store, call on 8357948 or email on info@ahuriripharmacy.co.nz to speak to someone today. Read more information