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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Shingles Require Medical Attention While On Anti Viral IV And Pain Medications?

Hi, my husband has a history of CLL and was reciently diagnosed with Shingles. The shingles has spread to other parts of his body besides the nerve path. He is on IV anti viral and a host of nerve blockers and pain meds. He is sleeping a lot and has a steady fever and very nauseous. Blood pressure 129/60 currently. He has been in remission for 10years. Is this a cause for concern? I m not getting answers from the hospital staff. Thanks!
Fri, 20 Oct 2017
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General & Family Physician,  's  Response
Hello,
Thank you for trusting HCM

Shingles in an immunocompromised person suffering from CLL definitely require medical attention. However, according to your history, your husband is receiving appropriate treatment with IV antiviral treatment and pain medications.
If nausea and vomiting is troublesome I recommend adding 8 mg twice daily to the treatment regimen.
His blood pressure is within normal range at present. I would recommend monitoring of blood pressure every 4 hours, and initiate IV fluids if the blood pressure drops down further.

Hope this answers your question
Please let me know if you need further clarifications
Regards
Dr.Lekshmi
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Does Shingles Require Medical Attention While On Anti Viral IV And Pain Medications?

Hello, Thank you for trusting HCM Shingles in an immunocompromised person suffering from CLL definitely require medical attention. However, according to your history, your husband is receiving appropriate treatment with IV antiviral treatment and pain medications. If nausea and vomiting is troublesome I recommend adding 8 mg twice daily to the treatment regimen. His blood pressure is within normal range at present. I would recommend monitoring of blood pressure every 4 hours, and initiate IV fluids if the blood pressure drops down further. Hope this answers your question Please let me know if you need further clarifications Regards Dr.Lekshmi