Topical Shingles Treatments: Pain Relief & Options

A few topical medications are used to manage the pain associated with shingles (herpes zoster). These are generally used in combination with other medications, including oral antivirals and corticosteroids, as well as painkillers.

Types

• The two topical medications used most generally in the management of shingles are lidocaine (in the form of patches) and capsaicin cream.

Features

• The American Academy of Family Physicians (AAFP) reports that lidocaine patches can be used while shingles sores are active, while capsaicin cream is used after sores have crusted over.

Time Frame

• The AAFP recommends using lidocaine patches every four to 12 hours as needed, while capsaicin cream should be applied between three and five times per day.

Considerations

• Some people may have a painful reaction to the use of capsaicin cream. Treatment with capsaicin should be discontinued if this occurs.

Significance

• Individuals with shingles should work with a physician to develop a plan to manage the pain and other effects of shingles.