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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Herpes Zoster Infection On Chest, Heavy Joint, Shoulder And Knee Pain. Taking Herpikind. Treatment?

i am infected with herpese zoster since one month on chest . there is heavy pain in my joint of solder and knee .I had take a corse of 50 tablets of Herpikind 800 Mg . But still no cured. I am still in touch with doctor giving me paracitamol and some pain killer. Please advise me any effective medicine for herpese. Thanks
Wed, 5 Sep 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
First of all its very essential that are your diagnosis of herpes zoster was right or wrong?
I mean to say if you are suffering from another disease (not from herpes zoster), then prescribed medicines won't work and your condition won't improve.
Although appearance of herpes zoster is very specific and no body can miss.
You should consult with dermatologist and go for repeat course of anti-viral therapy.
A variety of anti-viral medications are available and effective.
You can take Famciclovir 500 BD for 7 days on written prescription.
You should also take topical ointment of aciclovir and apply calamine lotion for soothing effects.
Herpes zoster is a self remitting viral illness and it will recover within 5-7 days.
Take care,
Dr. Mayank Bhargava
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Dermatologist Dr. Praveen Rodrigues's  Response
Hi there Alak. If indeed your condition is Herpes Zoster, then as a dermatologist , i would be amazed it lasted 1 month. Herpes Zoster is a viral infection akin to the chicken pox virus that resides dormant in the nerve ganglions & springs up when immunity is suppressed. If indeed so, please get a HIV test done ..both ELISA & PCR/Western Blot methods & please fix an appointment with a dermatologist asap (as soon as possible). You may glean the name of the dermatologist nearest you from our healthcaremagic.com doctors' directory. There is no effective medicine unless the diagnosis is 100% confirmed & if you mean only the pain exists after herpes zoster (assuming it was so), then we are dealing with a condition called post herpetic neuralgia & the medication would depend on the 'type' of neuropathic pain description. So we will need some more clear history & photographs of the affected site would be nice. Cheers & hope have pointed you in the right direction!
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Hi,
Herpes zoster is reactivation of Chicken pox virus which you suffer in childhood. The virus remains latent in dorsal root of nerves.
The reactivation involves only one side and specific dermatome it is self limiting disease for skin blisters which must have been healed by this time.As you have taken Acyclovir the antiviral drug.
Some times a nerve complication Neuralgia persist which responds poorly to analgesics.
Rarely CNS comlication with late weakness and wasting of limbs ,In persons with poor immunity severe disease may occur.
Pain may respond better to Pain modulators and Amytrptiline like drugs
Please consult Physician/Neurophysician to solve your problem
Good Luck
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Herpes Zoster Infection On Chest, Heavy Joint, Shoulder And Knee Pain. Taking Herpikind. Treatment?

Hi, Thanks for posting your query. First of all its very essential that are your diagnosis of herpes zoster was right or wrong? I mean to say if you are suffering from another disease (not from herpes zoster), then prescribed medicines won t work and your condition won t improve. Although appearance of herpes zoster is very specific and no body can miss. You should consult with dermatologist and go for repeat course of anti-viral therapy. A variety of anti-viral medications are available and effective. You can take Famciclovir 500 BD for 7 days on written prescription. You should also take topical ointment of aciclovir and apply calamine lotion for soothing effects. Herpes zoster is a self remitting viral illness and it will recover within 5-7 days. Take care, Dr. Mayank Bhargava