Shingles: Managing Symptoms and Treatment Effectiveness

Shingles

Hello, Doctor: I noticed blisters on my back on May 19, and then on May 21, I discovered that blisters had also appeared on my chest.
I visited a doctor that day and was diagnosed with "herpes zoster" (shingles).
I was prescribed medication for seven days (Virless 800mg).
The areas where the blisters appeared were gradually healing, but on May 25, I noticed that there were still large blisters forming on my back, and on my chest, there were small rashes starting to itch near the areas that had already scabbed over.
Is this normal, or is the current medication insufficient? Thank you for your response.

S, 30~39 year old female. Ask Date: 2024/05/26

Dr. Wu Yuxin reply Dermatology

Since I did not see your lesion, I recommend that you consult your original physician for another examination.

Reply Date: 2024/05/26

More Info

Shingles, also known as herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. It typically presents as a painful rash that develops into blisters, often localized to one side of the body. The symptoms can include burning or tingling sensations, itching, and extreme sensitivity in the affected area.
In your case, it seems that you were diagnosed with shingles and prescribed Virless (acyclovir) 800 mg for a duration of seven days. Acyclovir is an antiviral medication that is effective in reducing the severity and duration of shingles if started early in the course of the disease. It works by inhibiting the replication of the virus, thereby helping to alleviate symptoms and prevent complications.

Regarding your concerns about the development of new blisters and itching in the areas where the rash has already crusted, it is not uncommon for shingles to have a variable course. The appearance of new blisters can occur, especially if the initial outbreak was extensive. This can happen due to the nature of the virus and the immune response. Itching and the formation of small bumps or rashes in the healing areas can also be part of the healing process, as the skin undergoes changes during recovery.

However, if you notice that the new blisters are larger or more numerous than before, or if you experience increased pain, fever, or any other concerning symptoms, it is essential to follow up with your healthcare provider. They may need to reassess your treatment plan, as the effectiveness of antiviral medications can vary among individuals, and some may require a longer duration of therapy or additional medications to manage symptoms effectively.

In addition to antiviral therapy, managing shingles symptoms can involve the use of pain relievers, topical treatments for itching, and sometimes corticosteroids to reduce inflammation. It is also crucial to keep the affected area clean and dry to prevent secondary bacterial infections, which can complicate the healing process.

In summary, while the appearance of new blisters and itching can be part of the shingles experience, it is essential to monitor your symptoms closely. If you have concerns about the effectiveness of your treatment or the progression of your symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Early intervention can help manage the condition more effectively and reduce the risk of complications.

Similar Q&A

Understanding Shingles: Pain Management and Effective Treatments

Hello Dr. Tsai, Recently, I developed shingles on the inner side of my left arm and on my back, which are localized to small areas. The pain has become unbearable, so I visited a dermatologist. After taking the medication, although the lesions feel somewhat improved (with slight...

Dr. Huang Ruiyun reply Dermatology
Shingles will take about a month to heal, not just three days. Acyclovir is an antiviral medication for herpes viruses. Brufen is a pain reliever. Tozy is another type of pain medication. Kearnalin or Keamalin? There is no record of such a medication name. If the pain persists, c...

Understanding Shingles: When to Seek Hospitalization for Severe Symptoms

Hello, I was diagnosed with shingles at a local clinic three days ago. The area with blisters has been spreading from my thigh to the back of my buttocks and lower back. The pain and burning sensation have been persistent and seem to be worsening. Given this situation, is it inef...

Dr. Zhang Zhibo reply Dermatology
Hello: Shingles is a reactivation of the varicella-zoster virus, and the location you mentioned likely corresponds to the lumbar region. Generally, antiviral medications (Acyclovir) should be administered either intravenously or orally within 3-4 days of the rash appearing to tre...

Managing Recurrent Shingles: Treatment Options and Advice

In mid-April, I experienced a severe outbreak of shingles (in the lower body). In early June, I had a mild recurrence and received a self-paid vaccine. By the end of August, I had a third outbreak with blisters and pre-existing nerve pain. I took medication for three days and app...

Dr. Wu Yuxin reply Dermatology
I cannot recommend medication online, as it violates medical regulations. If it is inconvenient to visit a hospital or clinic due to the pandemic, you can consult a dermatology clinic that offers telemedicine services, which can provide you with diagnosis and treatment according ...

Understanding Shingles: Treatment Options and Recurrence Risks

Hello Doctor, I have just been diagnosed with shingles, and it has been a week since the onset. The blisters have not yet ruptured, and the affected area extends from my right rib cage to my back, causing severe unilateral neuropathic pain. I have heard that early treatment for s...

Dr. Zhang Zhibo reply Dermatology
Hello: Herpes zoster, commonly known as shingles, is a reactivation of the varicella-zoster virus that occurs in individuals with weakened immune systems. This virus is one of the few microorganisms that can be effectively treated with antiviral medications. There are generally t...