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Medicines Used in the Treatment of Shingles

Shingles is a secondary condition of infection with the varicella-zoster virus, which also causes chickenpox. Because shingles is caused by a member of the herpesviridae family, it is treated with the same antivirals used to treat other herpetic conditions, along with other medications to manage both pain and nerve damage.

  1. Antivirals

    • Three antiviral drugs are used in the treatment of shingles. These include acyclovir, valacyclovir and famciclovir; the second two are more efficient and hence can be taken less often per day than the first.

    Corticosteroids

    • Corticosteroids are used in the treatment of shingles to control swelling and prevent nerve damage. According to an April 15, 2000, article in American Family Physician by Seth John Stankus, MAJ, MC, et al., the use of corticosteroids in conjunction with antivirals relieves pain and may reduce one's chances of developing postherpetic neuralgia (a condition of lingering pain after the rash clears up).

    Over-the-Counter Painkillers

    • The intensity of pain from shingles varies between patients. For those with mild pain, over-the-counter (OTC) painkillers may provide relief.

    Narcotic Painkillers

    • For some people, OTC painkillers are ineffective in managing shingles pain. These people may be prescribed narcotic (opioid) painkillers.

    Topical Relief

    • According to Stankus, et al., calamine lotion can be applied for relief while sores are still active, while capsaicin cream can be used after they have blistered over. Lidocaine patches may also be applied for local relief.

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