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    James M. Steckelberg, M.D.

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Question

Shingles treatment: Does alcohol use interfere with shingles therapy?

Does moderate alcohol use interfere with shingles treatment?

Answer

from James M. Steckelberg, M.D.

Shingles (herpes zoster) is a viral infection that causes a painful rash. An episode of shingles usually heals on its own within a few weeks. However, prompt shingles treatment — often including an antiviral drug such as acyclovir (Zovirax), famciclovir (Famvir) or valacyclovir (Valtrex) — can ease pain, speed healing and reduce the risk of complications.

Generally, it's best to avoid alcohol during the course of shingles treatment. Although alcohol warnings aren't specifically listed in the product labels for the antiviral drugs most often used to treat shingles, it's usually best to avoid mixing alcohol and medication. Alcohol can reduce the effectiveness of certain medications, as well as increase the risk of side effects — such as dizziness, especially in older adults.

Next question
Shingles vaccine: Should I get it?
References
  1. Shingles disease — questions and answers. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/shingles/dis-faqs.htm. Accessed Sept. 26, 2008.
  2. Albrecht MA. Treatment of herpes zoster. http://www.uptodate.com/home/index.html. Accessed Sept. 26, 2008.
  3. Zachary KC. Valacyclovir: An overview. http://www.uptodate.com/home/index.html. Accessed Sept. 30, 2008.
  4. Zachary KC. Famciclovir: An overview. http://www.uptodate.com/home/index.html. Accessed Sept. 30, 2008.
  5. Zachary KC. Acyclovir: An overview. http://www.uptodate.com/home/index.html. Accessed Sept. 30, 2008.
  6. Harmful interactions: Mixing alcohol with medicines. National Institute on Alcohol Abuse and Alcoholism. http://pubs.niaaa.nih.gov/publications/Medicine/medicine.htm. Accessed Sept. 30, 2008.

AN01944

Nov. 4, 2008

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