What Shingles And Shingles Do Shingles Use?

The prognosis of shingles for each person is not the same, it should not be too worrying but do not underestimate, need to search and evaluate carefully to use properly and avoid using the wrong medicine.
Overview of the disease
The varicella zoster virus causes chickenpox (varicella) in children, then stays in the nerve root ganglion for decades, when there is a chance of causing shingles (herpes zoster).
If the serum reaction, there are about 90% of adults with evidence of infection with varicella zoster virus, but only about 0.15 - 0.3% of shingles, every year there are 0.2% more new cases.
The incidence is higher in adults than in young people. In young people, the disease is usually benign, rarely leaving sequelae

In adults, the disease is easily serious, often leaving sequelae.


What Shingles And Shingles Do Shingles Use?


Particularly sequelae neuropathic pain after shingles, people over 50 often have the rate of occurrence 15-25 times higher than those under 30 years.
At first, the patient has a headache, fear of light, difficulty in living, rarely fever, feeling abnormal in the skin (itching, stinging or intense).
Approximately 1 to 5 days, erythematous maculopapular erythematosus appears, developing into clear blisters The blisters can extend to an entire area of the skin (usually a square mold on the waist, on the side from the spine to the sternum, the feet of the hands or the side of oily skin).
A special feature is that blisters only on one side, rarely spread across the boundary between the body. Within 3-5 days, turn to different stages: purulent, ulcerative, crusting.
After about 2-4 weeks, the skin lesions will heal but leave scars and permanent skin color changes. Skin lesions are usually stretched into a long flap, localized in the hips, back, neck, thighs, or are mistaken for allergies due to the movement of an offspring (a reptile) should be called a "creeping" disease

Some commonly used drugs
Antiviral group

Use in the acute phase.


What Shingles And Shingles Do Shingles Use?

Commonly used: acyclovir, valacylovir, famcilovir. All three have similar features: shortening the time of virus excretion, quickly stopping the formation of new lesions, speeding up the healing process, reducing the severity of acute pain.
They are only slightly different: valacyclovir is a precursor of acyclovir, producing acyclovir in serum 5 times higher than acyclovir, if taking valacyclovir every 8 hours every 1,000 mg will be as effective as acyclovir every 4 hours 800mg.
Valacyclovir, famciclovir have a good pharmacokinetic balance and a simpler, preferable use.
A few notes: need to use early within 24 - 48 hours when symptoms and high doses. Acyclovir: once 800mg, every 4 hours used once, every 10 days.
Valacyclovir: once every 1,000 mg every 8 hours for once, every 7 days. Famciclovir: once 500mg, every 8 hours used once, every 7 days.


What Shingles And Shingles Do Shingles Use?


Do not use topical medication because it is not effective. The drug does not cause any adverse effects, however with renal insufficiency need to reduce the dose. There are no complete information, so do not use for pregnant women.
Pain relief group
Symptoms of postherpetic neuralgia appear 30 or 60 days after the rash appears or after the scar heals. Pain sensations are difficult to grasp: stinging, burning like a stab, electric shock.
Pain can last for months and years, accompanied by a number of different sensory disorders, most notably pain sensations (light touches such as clothing exposed to the affected skin can cause pain). violently).
In addition, there may be paresthesia (a needle-like sensation occurring spontaneously), anesthesia (an abnormal sensation with irritation to the skin), possibly accompanied by symptoms of depression.


What Shingles And Shingles Do Shingles Use?

The drug can be used alone or in combination, including:
Lidocaine: used as a 5% paste, up to 3 patches can be used within 12 hours. The drug may cause local irritation, rarely toxic to the whole body. Only applied to intact skin.
Capsaicin cream (active ingredient from chili): 0.025 - 0.075%, applied with low capsaicin concentration, high later. The drug causes burning. Only applied to intact skin.


What Shingles And Shingles Do Shingles Use?

Some patients leave treatment because they can't stand being burned.
Amtriptylin, nortripylin: is a tricyclic antidepressant. Start with a low dose after increasing, divided into 3 times a day (amitriptyline increased from 10mg to 300mg daily, increased nortripylin 25mg - 150mg / day).
The drug can be sedative, cause confusion, urinary retention, postural hypotension, dry mouth, arrhythmia (should be limited to the elderly).
Methylprednisolon: intrathecal injection reduces long-term pain in 90% of cases. However, it must be injected with the right technique (to avoid infection), it should not be used for a long time (avoid the side effect of keeping water salts, reducing the body's resistance).
Oxycodon: is an opioid analgesic, can cause constipation, cause addiction, if you need a dose of 5mg - 20mg but should limit use.
Some medicines should not be used
Antiallergic drugs: shingles appear to be similar to allergies, but they are not allergies, do not use antiallergic drugs (chlopheniramin, corticosteroids) but delay the use of antiviral drugs.


What Shingles And Shingles Do Shingles Use?


Antibiotics: shingles, when in the stage of purulent eruption, look like bacterial infections but are viral illnesses, so use antiviral instead of conventional anti-bacterial antibiotics.
Common painkillers: pain after shingles is a mental pain.

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