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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for shingles

Husband has shingles in eye, forehead and scalp. Rash now gone. Still has very bad headache, hurting behind eye and feeling sick. he has lost a stone in a four weeks. he was diagnosed with shingles at christmas. For over a week has had shortness of breath when moving, feeling really cold with uncontrollable shivering.
Thu, 22 May 2014
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Dermatologist 's  Response
Hello and welcome to healthacermagic

I would keep a possibility of Neuralgia. Shingles is commonly accompanied by neuralgic pains, shooting or burning or stabbing pains. This is commonly called as Herpes associated neuralgia (HAN). However when it persists long after Shingles has resolved (usually past 1 month) then it is called as Post Herpetic Neuralgia (PHN) i. e pain lasting 1 month after episode of shingles.

The pain is due to inflammation and scarring of nerves affected by the episode of shingles. Treatment is effective but sometimes lasts months or years specially in old age group of patients:

Treatment Options are:

-NSAIDS
-Tricyclic antidepressants(Amytriptyline, nortriptyline)
-Gapapentin/Pregabalin
-Carbamazepine
-Topical Capsaicin gel/cream
-Topical Lidocaine gel/cream

Treatment of Neuralgic pain often takes months specially in older age group. I would advice consultation with a dermatologist and work out the best treatment options for you.

My choice is Tricyclics along with Gabapentin/Pregabalin

regards
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