Shingles Treatment: Should You Return to Taiwan for Care? - Dermatology

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If you are experiencing a shingles outbreak, it is important to seek appropriate medical care promptly. Shingles, or herpes zoster, is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. The condition can lead to painful rashes and blisters, and in some cases, complications such as postherpetic neuralgia, which can cause long-lasting pain even after the rash has healed.

In your case, you have already started treatment with famciclovir, an antiviral medication that can help reduce the severity and duration of the shingles outbreak if taken early. However, it seems that your symptoms are worsening, with the rash spreading significantly. This could indicate that the current treatment is insufficient or that you may require additional therapies.

Returning to Taiwan for treatment could be a viable option, especially if you feel that you would receive more comprehensive care there. In Taiwan, healthcare providers may offer a broader range of treatments for shingles, including:
1. Antiviral Medications: Similar to famciclovir, other antiviral medications like acyclovir or valacyclovir may be prescribed. These medications are most effective when started within 72 hours of the rash appearing.

2. Pain Management: Shingles can be very painful, and additional pain management strategies may be available, including prescription pain relievers, topical treatments, and nerve blocks.

3. Corticosteroids: In some cases, corticosteroids may be prescribed to reduce inflammation and pain associated with the rash.

4. Supportive Care: Healthcare providers may also recommend supportive treatments, such as cool compresses, calamine lotion, or other topical agents to soothe the skin.

5. Vaccination: If you have not already been vaccinated against shingles, discussing the shingles vaccine (Shingrix) with your healthcare provider could be beneficial for future prevention.

Before making a decision to return to Taiwan, consider the following:
- Consult with a Healthcare Provider: If possible, reach out to a healthcare provider in Australia to discuss your worsening symptoms. They may be able to adjust your treatment plan or provide additional medications.

- Assess Travel Feasibility: If you decide to return to Taiwan, ensure that you can travel safely without exacerbating your condition. Long flights can be uncomfortable, especially if you are experiencing pain.

- Prepare Medical Records: If you do return to Taiwan, bring any medical records, including details of your current treatment and any medications you are taking. This information will help your healthcare provider in Taiwan understand your situation and provide appropriate care.

- Insurance and Costs: Check with your health insurance provider regarding coverage for treatment in Taiwan, including any necessary referrals or approvals.

In summary, while returning to Taiwan for treatment may provide you with access to a wider range of therapies and support, it is crucial to first consult with a healthcare provider in Australia to evaluate your current treatment and determine the best course of action. If your symptoms continue to worsen, seeking immediate medical attention is essential to manage your shingles effectively.