Shingles pain: What works?
Filed in archive Treatment on July 25, 2005

A recent meta-analysis looks at what works for shingles pain:
What helps? Rice's team found good evidence supporting:
* Tricyclic antidepressants. These are the older kinds of antidepressant. Those shown effective for postherpetic neuralgia include nortriptyline (Pamelor), desipramine (Norpramin), and amitriptyline (Elavil, Endep).
* Strong opioids. Those shown effective for postherpetic neuralgia include morphine, oxycodone, and methadone.
* Neurontin
* Lyrica
* Ultram, Ultracet
* Lidoderm
* Zostrix
What does not work? Rice notes that it's hard to say something never works for anyone. And for some treatments there simply isn't enough evidence to say they work. But his team found that the available evidence does not support the use of:
* A group of drugs called NMDA receptor antagonists. These include oral memantine (Namenda), oral dextromethorphan, and intravenous ketamine.
* Codeine
* Ibuprofen (Advil, Motrin)
* Lorazepam (Ativan)
* Triptans (migraine drugs)
* Zovirax
* Topical benzydamine (Tantum)
* Topical diclofenac (Solaraze)
* Vincristine iontophoresis
. . . "If there are no contraindications, and the pain is debilitating, I would start a patient with tricyclic antidepressants," Dubinsky says. "If the pain is not that debilitating, I would try the lidocaine patch first. And if there is a contraindication to tricyclic antidepressants, I would go with opioids. This decision has a lot to do with what patients can tolerate."
(DeNoon, "Best Treatments for Lasting Shingles Pain", WebMD, Jul.25)
* Tricyclic antidepressants. These are the older kinds of antidepressant. Those shown effective for postherpetic neuralgia include nortriptyline (Pamelor), desipramine (Norpramin), and amitriptyline (Elavil, Endep).
* Strong opioids. Those shown effective for postherpetic neuralgia include morphine, oxycodone, and methadone.
* Neurontin
* Lyrica
* Ultram, Ultracet
* Lidoderm
* Zostrix
What does not work? Rice notes that it's hard to say something never works for anyone. And for some treatments there simply isn't enough evidence to say they work. But his team found that the available evidence does not support the use of:
* A group of drugs called NMDA receptor antagonists. These include oral memantine (Namenda), oral dextromethorphan, and intravenous ketamine.
* Codeine
* Ibuprofen (Advil, Motrin)
* Lorazepam (Ativan)
* Triptans (migraine drugs)
* Zovirax
* Topical benzydamine (Tantum)
* Topical diclofenac (Solaraze)
* Vincristine iontophoresis
. . . "If there are no contraindications, and the pain is debilitating, I would start a patient with tricyclic antidepressants," Dubinsky says. "If the pain is not that debilitating, I would try the lidocaine patch first. And if there is a contraindication to tricyclic antidepressants, I would go with opioids. This decision has a lot to do with what patients can tolerate."
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Response from:
Jay
(03/30/07 8:33am)
Response from:
ThxRehab
(05/11/07 5:09am)
There are essentially four types of painkillers used to make shingles pain more tolerable:
-Aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs for short).
-Acetominophen, of which the best known form is Tylenol.
-Narcotics, also known as opioids.
-Corticosteroids, sometimes called simply steroids.
-Aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs for short).
-Acetominophen, of which the best known form is Tylenol.
-Narcotics, also known as opioids.
-Corticosteroids, sometimes called simply steroids.
Response from:
Rose
(08/13/08 7:00am)
Three things got me thru the pain from shingles. 1)600 mg ibuprofen 2)Lyrica 3) lidoderm patches. After 2 mos. I do not take or use any meds but still have slight irritation. I used all three of the above together.
Response from:
Shingles Pain
(09/15/09 4:15am)
You might try Lidocaine analgesic patches for temporary pain relief
Response from:
Ellie Emerson
(10/22/09 3:08am)
My husband, my bishop, and literally dozens of people I know were dramatically helped by a non-prescription cream called The Shingles Solution. For my husband, the pain was so bad that he could not sleep for days. This cream helped him immediately. You can find it at http://www.TheShinglesSolution.com.
Response from:
Vicki Dudai
(12/03/09 10:03pm)
I have been in pain 4 weeks with shingles using Valtrex and Vicodin. It has not attacked my skin, having only 7 lesions in a row on my abdomen but my organs inside feel as though they are drawing up and at times stabbing pains shoot through. It can be in the back or the front. The skin at times feels like it's sunburned and when worse, raw. Two days ago we stopped the vicodin and started Lyrica so I dosed that night and woke up with burning pain through the entire side where I've been affected. I had had strange vivid dreams and felt drunken. It felt as though I had nothing but raw meat through the entire area. So I immediately took my second dose of Lyrica. About 30 min my pain had subsided, but I definitely felt kind of "high" and "dopey". My skin felt well enough to finally wear a bra. I did fall back into a deep sleep for a couple of hours. The pain held down for the most part, very tolerable for the interior pain. The skin felt much better though I needed a Lyrica about 4 PM after being up and active and again fell asleep as soon as things quieted around the house and again I took one at night at bedtime. I slept without the dreams but woke early, feeling restless. I did awake several times uncomfortable with some slight pain feeling like my interior organs were aching but the skin was still feeling almost normal. It's definitely a new ballgame with the Lyrica on board. The skin feelings are so much better as is the interior feeling though it's not completely killed the interior pain which is quite nagging. The Lyrica prevented me from staying awake and more alert though for a good part of the day but as time goes on maybe that will change. Oh yes, the first morning I had some severe diarrhea and I feel the Lyrica may have caused that maybe along with the Vicodin that was still in the body? But I feel better so far this morning but I've not taken the dose yet! Today starts week 5.
Response from:
My Solution
(02/20/10 4:27am)
I've been getting shingles 2-3 times a year for about 20 years.
My solution -- I'm only saying that this method ALWAYS works for me. When the blisters appear, I pop them, wash them, and then put corn remover (yes, I did say corn remover) on them. It burns horribly -- for 20 or so minutes and then the pain dies down. I let it dry and stay on. I paint the blisters every day for three days. After that, I literally rip the accumulation of corn remover off (yes, it burns), wash the area well and dry it. I then put neosporin on it for 2-3 hours. I then wash that off and let the area air dry. The area will be raw and I have to keep it loosely bandaged (so the bandage doesn't touch it). For me, there is no more pain after this. It's now a matter of time for a real scab to form and for it to slough off.
I wish you peace and health.
My solution -- I'm only saying that this method ALWAYS works for me. When the blisters appear, I pop them, wash them, and then put corn remover (yes, I did say corn remover) on them. It burns horribly -- for 20 or so minutes and then the pain dies down. I let it dry and stay on. I paint the blisters every day for three days. After that, I literally rip the accumulation of corn remover off (yes, it burns), wash the area well and dry it. I then put neosporin on it for 2-3 hours. I then wash that off and let the area air dry. The area will be raw and I have to keep it loosely bandaged (so the bandage doesn't touch it). For me, there is no more pain after this. It's now a matter of time for a real scab to form and for it to slough off.
I wish you peace and health.
Response from:
Sharon
(06/13/10 7:38am)
My brother's shingles post herpetic pain is totally stopped by eating seaweed salad for at least 3 days. If you suffer with shingles Post-Herpetic Neuralgia pain try eating some seaweed salad for several days. First always check with your doctor first before trying this; however, my brother has achieved total relief when he eats about 1/4 cup of seaweed salad found in your grocery store near the sushi!! It is really good, and my brother’s Post-Herpetic Neuralgia pain totally disappears; however, if he stops eating it, the pain slowly comes back. This is worth a try!!
Good luck!! Always Check with your doctor first before you try anything.
Good luck!! Always Check with your doctor first before you try anything.
Response from:
alex
(12/01/10 5:23am)
IF anyone has used the Qutenza patch for pain management and would like to participate in an opinions study, please contact me at painstudy@bellfalla.com to determine if you qualify. IF you qualify you maybe eligible for compensation. We are a marketing research firm.
Response from:
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And though the techniques didn't get rid of my shingles in 3 days (as promised on the website) it took about a week and a half... Which I was happy about...
the site if I can get it right is www.simpleshinglescure.com
or just type shingles in google and It should come up somewhere if i gave the wrong address...Jay