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Treatments and drugs

By Mayo Clinic staff

An episode of shingles usually heals on its own within a few weeks, but prompt treatment can ease pain, speed healing and reduce your risk of complications.

Antiviral drugs
For best results, start these medications within 72 hours of the first sign of the shingles rash. Oral antiviral medications include:

  • Acyclovir (Zovirax)
  • Valacyclovir (Valtrex)
  • Famciclovir (Famvir)

Drugs for the pain
Shingles can cause severe pain, so you may need prescription medications for treatment. They may include:

  • Narcotics, such as oxycodone
  • Tricyclic antidepressants, such as amitriptyline
  • Anticonvulsants, such as gabapentin (Neurontin)
  • Numbing agents, such as lidocaine, delivered via a cream, gel, spray or skin patch
References
  1. Shingles: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/shingles/detail_shingles.htm. Accessed June 17, 2009.
  2. Ferri FF. Herpes zoster. In: Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/143941389-3/853489074/1701/269.html#4-u1.0-B978-0-323-04134-8..50011-2--subchapter24_5768. Accessed June 17, 2009.
  3. Shingles disease: Questions and answers (herpes zoster). Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/shingles/dis-faqs.htm. Accessed June 17, 2009.
  4. Albrecht MA. Epidemiology and pathogenesis of varicella-zoster virus infection: Herpes zoster. http://uptodate.com/home/index/html. Accessed June 18, 2009.
  5. AgePage: Shingles. National Institute on Aging. http://www.niapublications.org/agepages/shingles.asp. Accessed June 18, 2009.
  6. Varicella (chickenpox) vaccine Q&A. Centers for Disease and Prevention. http://www.cdc.gov/vaccines/vpd-vac/varicella/vac-faqs-gen.htm. Accessed June 18, 2009.
  7. Herpes zoster vaccine Q&A (Shingles). Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/shingles/vac-faqs.htm. Accessed June 18, 2009.

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Sept. 4, 2009

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