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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is Neurontin Prescribed For A Shingles Outbreak?

I just saw a doctor this morning for a third outbreak of shingles in the last 12 years. I am 62, female and in good health. I started seeing a few sores 48 hours ago and went in within that window. He did not prescribe Zovirax this time but instead Neurontin. I'm not sure why he did this and he had a thick foreign accent, so I came away a bit confused. Can you help?
Fri, 14 Sep 2018
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General & Family Physician 's  Response
Hello,

I'm sorry to hear you have another episode of shingles. Given what you've told me, your doctor's treatment is different from what is recommended for shingles.

If you presented within 72 hours of the start of the rash, Zovirax or another antiviral is typically prescribed.

Neurontin is a reasonable treatment if you have been having pain for several months after having shingles, but would not normally be prescribed right away, when you first start having symptoms.

It may be that your doctor has a good reason for treating you how he did, based on other information or something he saw on his examination, but this would have been my approach.

Though antiviral treatment can shorten the time you have shingles, normally you will still recover well without them, and hopefully have no pain that persists afterward.

If you do have pain that persists (called post-herpetic neuralgia), then Neurontin can help with that pain.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Aaron Branch, General & Family Physician
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Internal Medicine Specialist Dr. Dr. Penchila Prasad Kandikattu's  Response
Hello,

Gabapentin is used as a first line agent in neuropathic pain. It acts by modulating the signal trafficking at injured nerve endings. Vitamin B12 and folic acid also are useful in neuropathic pain.

Antiviral drugs like acyclovir also used in herpes zoster Infection. Please consult your doctor he will advise acyclovir along with Gabapentin in the treatment of herpes zoster.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Penchila Prasad Kandikattu , Internal Medicine Specialist
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Why Is Neurontin Prescribed For A Shingles Outbreak?

Hello, I m sorry to hear you have another episode of shingles. Given what you ve told me, your doctor s treatment is different from what is recommended for shingles. If you presented within 72 hours of the start of the rash, Zovirax or another antiviral is typically prescribed. Neurontin is a reasonable treatment if you have been having pain for several months after having shingles, but would not normally be prescribed right away, when you first start having symptoms. It may be that your doctor has a good reason for treating you how he did, based on other information or something he saw on his examination, but this would have been my approach. Though antiviral treatment can shorten the time you have shingles, normally you will still recover well without them, and hopefully have no pain that persists afterward. If you do have pain that persists (called post-herpetic neuralgia), then Neurontin can help with that pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician