Question: Hi, I am 46, and dealing with my second bout of Shingles. I came down with this episode on May 3, while I was inpatient in the hospital. So I just passed my 3 month mark, and the rash doesn't appear to be clearing up as it should. I've been prescribed a few meds for this episode, such as Neurontin, and I just completed a 15 day treatment with Prednisone, and am currently on a Pharmacy-compounded Diclofenac/Lidocaine (3/5%). I am also on Lyrica, but for FMS. Together, the Lyrica and Neurontin help keep the neuropathy under somewhat control.

The rash (what's left of it, which is still significant after all this time) reopened tonight and bled. That's new. It itches when it's close to changing the non-stick patches. I experience moderate nerve pain after roughly 5-6 hours with the new patch and compound medicine.

How long do I need to endure this? I'm concerned my PCP will refer me to a dermatologist the next time I see him if this isn't cleared up. He's been very supportive and tries to be helpful, especially when I call his office to request a new drug to help clear the rash and the pain. He's done his research, which is why he approved my request for the Prednisone and the Neurontin. That's why I'm concerned. I want to get well, but I'm so tired of doctors (no offense, please).

Thank you in advance,
XXXX
YYYY@YYYY


I don't remember choosing any specialist, so please don't be mad that oncology popped up. I have pictures of my rash, but the pics were taken while the rash was in its early stages.

Please advise me of any questions you might have. I feel like I haven't given a thorough explanation or a clear question. Thank you.

Thank you, Doctor. I took a recent (today) pic of the rash. I realize Lyrica and Neurontin are similar-acting meds, and my PCP prescribed both. He did that bc he knew my insurance won't pay for a larger dose of the Lyrica (I'm on 300mg 2/day), and I understand the Neurontin is a temporary medicine for me, at least until the PHN gets under control.

I will ask my PCP Monday about the two meds you mention. I am currently on Lexapro, so I'll see if he wants to change that to Nortriptyline. I'm unsure Carbmazepine is something he'd put me on, however, as the side effects are worse than the benefit of taking it. But I will ask, and whatever he says, I'll do.
I didn't know the compounded topical could cause allergic dermatitis. I am directed to change my patch and put the compound on each change every 8 hours, but am changing it roughly once a day. I didn't want too much NSAID in my system from it.

Please advise.

Thank you,
XXXX