How do shingles treatment for effective

How do shingles treatment for effective


Shingles is a disease caused by a virus (the virus shingles - Varicelle), expression of the blisters in the skin, together with the length of the nerve pain suffered thuong.Benh can occur in all ages, in both world, but mainly in the elderly (over 50), the immunocompromised, such as cancer or HIV infection or treatment with corticosteroids. Disease frequency from 1.3 to 4.8 / 1,000 / 1 year.

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What is shingles?

Shingles is a disease caused by a virus (the virus shingles - Varicelle), expression of the blisters in the skin, accompanied by pain along the length of the nerve injury.

The disease can occur in all ages, in both sexes, but mainly in the elderly (over 50), the immunocompromised, such as cancer or HIV infection or treatment with corticosteroids. Disease frequency from 1.3 to 4.8 / 1,000 / 1 year.

Lesion location: encountered mainly in the chest, sometimes on the back, buttocks, neck, face, scalp, legs, arms ...

Usually, the pain will subside in a month (about 60%). In some patients, shingles pain last several months, even several years after recovering from blisters.

Symptoms of the disease

Patients with burning sensation, needles or pain along the skin flap in the dominant region of the nerve injury. About 2 - 3 days after the rash spread along the skin sore, and itchy blisters appear together and then break up, disappear and leave scars after 2 - 3 weeks. A number of cases have headache or fever.

Complications of the disease

If damage to the optic nerve causing blindness.

Paralysis of the face, loss of appetite due to damage to nerves VII (facial nerves).

Encephalitis with brain damage.

If pregnant women get sick, it can be dangerous to the fetus.

The spread of disease

Translate in skin blisters containing pathogens should therefore avoid direct contact (physical contact) to prevent infection and multiple infections.

What is the treatment for shingles?

If appearance burning and blisters on skin, need to visit a psychiatrist or dermatologist for examination and treatment as quickly and efficiently as possible. In case of shingles in the eye, to the eye specialist to avoid the risk of blindness.

Treatment consists of two phases: the acute phase treatment and period pain after shingles.

The acute phase treatment:

- Analgesics:

Efferalgan codeine (paracetamol + codeine) 500 mg 3-4 times / day, is effervescent medicine, a strong analgesic effect. Contraindicated in cases of allergy to any component of the drug, liver and kidney.

Or steroid anti-inflammatory painkillers such as aspirin 1.000mg x 2lan/ngay, drink after eating it. Contraindicated in cases of stomach-ulcer, allergy to any component of the drug.

- Steroids (prednisolon): Dose 1mg/kg/ngay x 3 days, then decreased gradually (10 mg every 3 days) and then stop, usually taken within 15 days. Contraindicated in case of hypersensitivity to the drug. Precautions for osteoporosis, stomach-ulcer, diabetes, hypertension, heart failure, growing children. Unexpected effects: insomnia, nervous irritability, cataract, glaucoma, edema, hypertension, ulcers, gastro-duodenal, esophageal ulcer, pancreatitis ...

- Antiviral Drugs (acyclovir, famyclovir ...): tablets 200mg, 400mg, 800mg. Dose of 800mg x 5 times / day for 4 hours apart. Treatment time of 5-7 days. It is used when disease incidence or blisters appear. Drugs are effective in reducing the intensity and duration of pain after shingles, effective treatment as soon as high. Contraindicated in case of hypersensitivity to the drug. Undesirable effects: nausea, vomiting, diarrhea, abdominal pain, headache. Precautions in case of pregnancy and lactation.

- Topical: while the blisters appear, where injury hygiene clean, wear clean clothes cool to avoid multiple infections. When the blisters break, can be marked by drug methylene blue.

Also can be used more antihistamines (chlorpheniramine. ..), antiviral drugs do not work but work relieve itching in injury and mild sedative.

The treatment of pain after shingles:

- Amitriptyline: 25 mg tablets, the dose from 25-75mg/ngay divided 2 times. At first low dose increased gradually. Drugs that work well in the case of burning, pain, tearing. Side effects: postural hypotension, drowsiness, confusion, dry mouth, tremor, constipation, urine retention, weight gain. Contraindications: glaucoma corner plays, prostate tumors, arrhythmias, conduction disturbances, epilepsy, pregnant.

Where bouts pain, stabbing pain, aches or muscle or muscle ... can use any of the following with a low dose then gradually increase the dose to effect:

- Carbamazepine (Tegretol): Tablets 200mg dosage from 400 - 1.200mg/ngay. Unexpected effects: dizziness, nausea at the start of treatment (limited by increasing the dose); cerebellar vestibular syndrome or confusion due to overdose; mitigate neutropenia; conduction disturbances heart; characteristic reactions (skin toxicity, hepatitis, bone marrow least). Contraindications: Bloc fibrillation - ventricular (bradycardia).

- Clorazepam (rivotril): tablets 2mg dose from 1-4mg/ngay. Undesirable effects: drowsiness, memory loss (in the elderly). Contraindicated in case of hypersensitivity to the drug.

Gabapentin (neurontin): 300mg tablets, the dose from 900mg-2.000mg/ngay. Undesirable effects: drowsiness, headache, dizziness, nausea, unsteadiness, trembling. Contraindicated in the case of pregnant or breastfeeding, allergic to the ingredients of the drug.
Topical: gel voltarel, aspirin gel ... within 4 weeks.