There are several options used in the treatment of shingles which should begin right after the rash appear. Early intervention can help shorten the length and severity of the episode.1,2 Antiviral treatment is most effective when administered within 72 hours of the appearance of the rash1,3. Pain medicine is used in the treatment of shingles, however, it is not always effective and the need for multiple pain medications is not uncommon.1-3 Early referral to a pain specialist for treatment of postherpetic neuralgia (PHN) is beneficial.3,4
References:
1. Harpaz R, et al. MMWR Recomm Rep. 2008 June;57(RR-5):1-30.
2. Chen N, et al. Cochrane Database Syst Rev. 2014 Feb;2:CD006866.
3. Johnson RW et al. BMJ (Clinical research ed) 2003;326:748-50.
4. Wehrhahn MC. et al. Australian Journal for General Practitioners 2012;41:660-7
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