How to Relieve Itching from Shingles: Tips and Treatments

What to do if shingles is very itchy?

I have shingles, and it has spread a lot and is now very itchy.
I have already sought medical attention, but yesterday it suddenly became extremely itchy.
It has been 7 days since the onset, and it has not improved; instead, it has spread more and is more uncomfortable.

Jian Qi, 30~39 year old female. Ask Date: 2016/04/20

Dr. Wu Yuxin reply Dermatology

Seek medical attention promptly; treatment can lead to improvement.

Reply Date: 2016/04/20

More Info

Shingles, or herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. The condition is characterized by a painful rash that can lead to significant itching and discomfort. If you are experiencing increased itching and discomfort after seven days of the outbreak, it is essential to manage these symptoms effectively. Here are some tips and treatments that may help relieve the itching associated with shingles:
1. Medications:
- Antiviral Drugs: If you haven't already, consult your healthcare provider about antiviral medications such as acyclovir, valacyclovir, or famciclovir. These medications can help reduce the severity and duration of shingles if taken early in the course of the illness.

- Antihistamines: Over-the-counter antihistamines like diphenhydramine (Benadryl) or loratadine (Claritin) can help alleviate itching. They may also help you sleep better if itching is keeping you awake.

- Topical Treatments: Calamine lotion or hydrocortisone cream can be applied to the affected areas to soothe itching and irritation. These topical treatments can provide temporary relief.

2. Cold Compresses: Applying a cool, damp cloth to the affected area can help reduce itching and inflammation. Make sure the cloth is clean, and avoid using ice directly on the skin to prevent frostbite.

3. Oatmeal Baths: Taking a lukewarm bath with colloidal oatmeal can help soothe itchy skin. Oatmeal has anti-inflammatory properties that can provide relief from itching and irritation. Make sure the water is not too hot, as hot water can exacerbate itching.

4. Moisturizers: Keeping the skin moisturized can help prevent dryness and reduce itching. Use fragrance-free moisturizers to avoid further irritation.

5. Avoid Scratching: It can be tempting to scratch the itchy areas, but doing so can lead to secondary infections and worsen the condition. Keeping your nails short and wearing loose-fitting clothing can help minimize irritation.

6. Stress Management: Stress can exacerbate the symptoms of shingles. Engaging in relaxation techniques such as deep breathing, meditation, or gentle yoga can help manage stress levels and may reduce the severity of itching.

7. Follow-Up with Your Doctor: Since you mentioned that your condition has worsened and more lesions have appeared, it is crucial to follow up with your healthcare provider. They may need to reassess your treatment plan and consider additional therapies, such as corticosteroids, to reduce inflammation and itching.

8. Vaccination: If you have had shingles, discuss with your doctor about the shingles vaccine (Shingrix) for future prevention. The vaccine is recommended for adults over 50 and can significantly reduce the risk of developing shingles again.

In conclusion, managing itching from shingles involves a combination of medications, topical treatments, and self-care strategies. It is essential to stay in close contact with your healthcare provider, especially if your symptoms are worsening. They can provide tailored advice and treatment options based on your specific situation. Remember that while shingles can be uncomfortable, most cases resolve within a few weeks, and effective treatments are available to help alleviate symptoms.

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