Shingles, caused by the varicella-zoster virus, is a painful condition that often presents with a blistering rash. As the virus reactivates in the body, it causes symptoms like burning pain, itching, and inflammation. For many individuals, managing the symptoms of shingles can be challenging, but over-the-counter (OTC) medications can provide significant relief. This article outlines the best OTC treatments for shingles and explains how they work to alleviate pain, inflammation, and discomfort.
What over the Counter Medicine Can I Use for Shingles？
1. Over-the-Counter Pain Relievers for Shingles
Pain relief is one of the most important aspects of managing shingles. The pain can be intense and may worsen with movement, touch, or even the slightest irritation. Fortunately, there are several OTC pain relievers that can help ease the discomfort.
Ibuprofen (Advil, Motrin)
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, inflammation, and fever. It is commonly used to manage the pain associated with shingles and works by inhibiting the production of chemicals in the body that promote inflammation. Taking ibuprofen as directed can provide significant relief from the pain caused by the shingles rash.
How to Use Ibuprofen
You can take ibuprofen every four to six hours, but it’s important not to exceed the recommended daily dose. Always follow the instructions on the package and consult a healthcare provider if you have any underlying health conditions, such as stomach ulcers or kidney problems, that might prevent you from taking NSAIDs.
Acetaminophen (Tylenol)
Acetaminophen is another common OTC pain reliever that can be used to manage shingles pain. Unlike ibuprofen, acetaminophen does not have anti-inflammatory properties but is still effective at reducing pain and fever. It works by blocking pain signals in the brain and can be a good option for individuals who cannot tolerate NSAIDs.
How to Use Acetaminophen
Acetaminophen should be taken according to the dosage instructions on the label. Be cautious not to exceed the recommended dose, as overdosing on acetaminophen can cause liver damage. If you are taking other medications that contain acetaminophen, make sure not to exceed the total daily dose.
2. Topical Treatments for Shingles: Immediate Relief for Itching and Pain
In addition to oral pain relievers, topical treatments can help manage the symptoms of shingles, especially when it comes to soothing the rash and reducing itching.
Calamine Lotion
Calamine lotion is a well-known remedy for a variety of skin irritations, including shingles. It works by soothing the itching and cooling the skin. The lotion’s mild astringent properties help dry out the blisters, which can reduce inflammation and discomfort.
How to Use Calamine Lotion
Apply calamine lotion generously to the affected areas of the skin. Be sure to allow the lotion to dry before dressing to avoid smudging. It is safe to reapply the lotion multiple times throughout the day, especially when the itching becomes intense.
Capsaicin Cream (Zostrix)
Capsaicin cream, derived from chili peppers, is another OTC topical treatment that may help relieve pain associated with shingles. Capsaicin works by depleting substance P, a neurotransmitter responsible for transmitting pain signals. By applying capsaicin cream to the affected area, you can reduce pain sensitivity over time.
How to Use Capsaicin Cream
When using capsaicin cream, apply a small amount to the shingles rash area. Start with a lower concentration to avoid skin irritation. Initially, capsaicin cream can cause a burning sensation, but this usually decreases after several applications. Make sure to wash your hands after applying the cream to avoid getting it in your eyes or mouth.
3. Antihistamines for Shingles Itching and Inflammation
Shingles can cause significant itching, especially during the early stages of the outbreak. Antihistamines are effective at controlling itching and preventing additional irritation.
Diphenhydramine (Benadryl)
Diphenhydramine is an antihistamine commonly used to relieve itching and allergic reactions. It works by blocking histamines, the chemicals responsible for causing itching, redness, and swelling. For individuals suffering from itching due to shingles, Benadryl can provide quick relief.
How to Use Diphenhydramine
Benadryl can be taken orally in tablet or liquid form, and it is generally taken every four to six hours. However, it can cause drowsiness, so it’s recommended to use it at night or when you do not need to operate heavy machinery. Always follow the dosage instructions on the label, and avoid combining it with alcohol or other sedating medications.
Loratadine (Claritin) or Cetirizine (Zyrtec)
Unlike diphenhydramine, loratadine and cetirizine are second-generation antihistamines that do not cause significant drowsiness. These medications can be helpful for controlling the itching associated with shingles without interfering with daily activities.
How to Use Loratadine or Cetirizine
Loratadine and cetirizine can be taken once daily, and they are available in both tablet and liquid forms. They are generally safe for most people, but it’s important to follow the recommended dosage on the package. As with any medication, consult a healthcare provider if you have pre-existing health conditions or are taking other medications.
4. Soothing Ointments for Skin Protection and Healing
Some OTC ointments and creams can help to protect the skin, prevent infection, and promote healing of the shingles rash. These treatments create a barrier on the skin, which helps to keep the area moist and aids in the skin’s repair process.
Petrolatum Jelly (Vaseline)
Petrolatum jelly, commonly known as Vaseline, is a simple and effective ointment for keeping shingles scabs moisturized and preventing them from cracking. While it does not have medicinal properties, it forms a protective barrier that helps prevent the entry of bacteria and other harmful substances, which can cause secondary infections.
How to Use Petrolatum Jelly
Apply a thin layer of Vaseline to the shingles scabs after cleaning the area. It will help keep the scabs from becoming overly dry, cracked, or painful. This simple remedy can be applied several times a day to maintain the skin’s hydration and prevent infection.
Aloe Vera Gel
Aloe vera is known for its natural soothing properties. It has a cooling effect that can reduce itching, burning, and inflammation associated with shingles. Aloe vera also helps moisturize the skin and promote healing of damaged tissue, making it an excellent option for soothing the skin during a shingles outbreak.
How to Use Aloe Vera Gel
Apply a generous amount of aloe vera gel to the affected areas, especially after cleansing the skin. Aloe vera gel can be used up to three times a day, and it should be gently rubbed in until absorbed. Choose a gel that is free from artificial fragrances or additives for the best results.
5. Antiviral Medications: Over-the-Counter Options
While antiviral medications are typically prescribed for shingles, there are some OTC options that may offer some relief and potentially speed up the healing process.
Lysine Supplements
Lysine is an essential amino acid that may help to reduce the severity and duration of viral outbreaks, including shingles. Lysine supplements can be taken as part of your diet or in pill form to support your immune system. While lysine is not a substitute for antiviral prescription drugs, it may complement other treatments and provide additional relief.
How to Use Lysine Supplements
Lysine supplements are typically available in tablet form and can be taken as directed on the package. It is important to consult with a healthcare provider before taking lysine supplements, especially if you are pregnant, breastfeeding, or taking other medications.
Conclusion
Managing the pain and discomfort of shingles can be challenging, but with the right over-the-counter treatments, you can ease the symptoms and speed up the recovery process. OTC medications like pain relievers, topical treatments, antihistamines, and soothing ointments can significantly reduce the pain, itching, and inflammation caused by shingles. Be sure to follow the usage instructions carefully and consult with a healthcare provider if you have any concerns or underlying conditions. By combining these treatments, you can manage the symptoms of shingles more effectively and promote faster healing.
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