Shingles Treatment Duration and Follow-Up Care

The duration of treatment for shingles?

Hello, I developed shingles in early April.
I went to see a dermatologist the day after the rash appeared.
The doctor prescribed medication and also gave me a blue medication that I had to pay for out of pocket, which I took every four hours.
After three days of treatment, I only developed three or four more blisters.
I went back for a follow-up to get a refill, and the doctor said that after this course of treatment, I wouldn't need to come back and advised me to take B vitamins.
However, my friends and family have been insisting that I see a doctor again because they know someone who was treated for several months and saw over ten doctors.
Since I have only seen the doctor twice, should I go back for another consultation? Currently, I am experiencing neuropathic pain, but there are no new rashes.

Jia Bao, 30~39 year old female. Ask Date: 2016/04/13

Dr. Wu Yuxin reply Dermatology

If there is no severe neuropathic pain and the wound has healed, it may not be necessary; however, it ultimately depends on individual symptoms.

Reply Date: 2016/04/13

More Info

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox. The treatment for shingles typically involves antiviral medications, pain management, and sometimes corticosteroids to reduce inflammation. Understanding the duration of treatment and follow-up care is crucial for effective management and recovery.

In your case, since you started experiencing shingles symptoms in early April and sought medical attention promptly, you are on the right track. The antiviral medication prescribed by your dermatologist is essential, as it can help reduce the severity and duration of the outbreak, especially if started within 72 hours of the rash appearing. Common antiviral medications for shingles include acyclovir, valacyclovir, and famciclovir. The duration of antiviral treatment usually lasts about 7 to 10 days, depending on the severity of the outbreak and the specific medication prescribed.

The blue medication you mentioned, which you took every four hours for three days, might have been an antiviral or a pain management medication. It's important to follow the prescribed regimen closely, as this can significantly impact your recovery.

Regarding follow-up care, it is not uncommon for patients with shingles to experience lingering pain, known as postherpetic neuralgia (PHN), even after the rash has healed. This pain can last for weeks, months, or even years in some cases. If you are currently experiencing nerve pain, it is advisable to consult your healthcare provider again. They can assess your symptoms and determine if additional treatment is necessary. Options for managing PHN may include medications such as gabapentin, pregabalin, or topical treatments like lidocaine patches.

Your friends and family may be concerned based on their experiences, which is understandable. Each individual's response to shingles can vary significantly. Some may require more extensive follow-up care, while others may recover more quickly. It is essential to trust your healthcare provider's judgment, but if you feel uncertain or if your symptoms persist or worsen, seeking a second opinion or further evaluation is always a good idea.

In summary, while your initial treatment seems to be on track, it is crucial to monitor your symptoms closely. If you continue to experience nerve pain or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide personalized advice based on your specific situation and help ensure that you receive the appropriate care to manage your symptoms effectively. Remember, early intervention can often lead to better outcomes, especially in cases of postherpetic neuralgia.

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