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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Shingles Be Treated?

I am pretty sure I have shingles as I have had them twice before. I have very limited medical resources available. Will neosporin help with anything and also what is the best medication I could get prescribed to me? What happens if I wait a month? I am in the bush in Africa. Thanks
Tue, 4 Oct 2016
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General & Family Physician 's  Response
Neosprin won’t help in this. It will prevent only secondary bacterial infection.
Advice
1.     Take Zostavax vaccine if you are more than 50 years under medical supervision
2.     For fresh attack, you can take valaciclovir 500 mg three times daily per oral if blisters are covering large area. No need of oral valaciclovir if blisters are localized to smaller area
3.     Apply locally aciclovir 3% ointment five time daily
4.     Tramadol for pain
5.     Do not take mental stress as it aggravates shingles
For post – herpetic neuralgia (pain)
1.     Gabapentin orally for 15 days
2.     Methylcobalamin 500 mcg once daily per oral for 3 months
Thanls
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How Can Shingles Be Treated?

Neosprin won’t help in this. It will prevent only secondary bacterial infection. Advice 1. Take Zostavax vaccine if you are more than 50 years under medical supervision 2. For fresh attack, you can take valaciclovir 500 mg three times daily per oral if blisters are covering large area. No need of oral valaciclovir if blisters are localized to smaller area 3. Apply locally aciclovir 3% ointment five time daily 4. Tramadol for pain 5. Do not take mental stress as it aggravates shingles For post – herpetic neuralgia (pain) 1. Gabapentin orally for 15 days 2. Methylcobalamin 500 mcg once daily per oral for 3 months Thanls