What is the protocol for treating shingles?

What is the protocol for treating shingles?

Treatment Options for Herpes Zoster

Medication Dosage
Acyclovir (Zovirax)† 800 mg orally five times daily for 7 to 10 days 10 mg per kg IV every 8 hours for 7 to 10 days‡
Famciclovir (Famvir)† 500 mg orally three times daily for 7 days
Valacyclovir (Valtrex)† 1,000 mg orally three times daily for 7 days

What is Ramsay Hunt Syndrome?

Ramsay Hunt syndrome (herpes zoster oticus) occurs when a shingles outbreak affects the facial nerve near one of your ears. In addition to the painful shingles rash, Ramsay Hunt syndrome can cause facial paralysis and hearing loss in the affected ear.

Why is steroid treatment for shingles controversial?

However, the dosage has been controversial among clinical workers in recent years. Levin (9) reported that corticosteroids caused immunosuppression, thus increasing or even aggravating the infection of patients with herpes zoster.

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

Oral aciclovir is first-line* if antiviral treatment is given. Aciclovir 800 mg, five times daily, for seven days is the recommended first-line antiviral treatment for a patient with shingles.

How do antivirals help shingles?

Antiviral medications — Antiviral medications stop the virus from multiplying, help the rash to heal more quickly, and reduce the severity and duration of pain. Antiviral treatment should be started as soon as possible, as it is most effective when started within 72 hours after the shingles rash appears.

When is it too late to take antivirals for shingles?

Starting antiviral treatment for shingles more than three days after symptoms start is generally believed to be ineffective because the virus is no longer reproducing. Still, many doctors will try treating the condition with antiviral drugs after this time.

Can VZV cause Bell’s palsy?

Reactivation of the varicella zoster virus has been implicated as one of the main causes of Bell’s palsy, however, studies which investigate the varicella zoster virus reactivation in Bell’s palsy patients are mostly Japanese and, therefore, personal and geographic characteristics are quite different from our …

Can you take acyclovir and prednisone together?

No interactions were found between acyclovir and prednisone. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

What medications can trigger shingles?

Radiation or chemotherapy can lower your resistance to diseases and may trigger shingles. Taking certain medications. Drugs designed to prevent rejection of transplanted organs can increase your risk of shingles — as can prolonged use of steroids, such as prednisone.

What does VZV cause?

Chickenpox is a highly contagious disease caused by the varicella-zoster virus (VZV). It can cause an itchy, blister-like rash. The rash first appears on the chest, back, and face, and then spreads over the entire body, causing between 250 and 500 itchy blisters.

Is Valtrex an immunosuppressant?

The reviewer stated that Valtrex is an antiviral drug. It is taken orally. As such, it is a systemic treatment. However, it is not an immunosuppressive drug such as a corticosteroid.

What are shingles?

Shingles (herpes zoster) are an outbreak of rash or blisters on the skin that is caused by the same virus that causes chicken pox – the varicella-zoster virus.

How are shingles diagnosed and treated?

The following explains how this condition is diagnosed and treated. How do dermatologists diagnose shingles? A dermatologist can often diagnose shingles by looking at the rash on your skin. If there is any question about whether you have shingles, your dermatologist will scrape a bit of fluid from a blister.

What is shingles (herpes zoster)?

Shingles, also known as herpes zoster, occurs in persons who have already had chickenpox. Most individuals who develop shingles are older than 50 years, have other medical problems (such as cancer), or are immune-suppressed from medications they take (such as steroid medications).

How do antiviral drugs treat shingles?

Antiviral drugs may also help stave off the painful after-effects of shingles known as postherpetic neuralgia. Other treatments for postherpetic neuralgia include steroids, antidepressants, anticonvulsants, and topical agents.