Shingles is a painful viral infection caused by the varicella-zoster virus, which is the same virus that causes chickenpox. The condition typically results in a painful rash and blisters, often on one side of the body. The pain associated with shingles can be severe and long-lasting, making it essential to find effective ways to manage the symptoms. Over-the-counter (OTC) creams can help alleviate some of the discomforts associated with shingles. In this article, we will explore what over-the-counter creams are good for shingles, how they work, and how to use them safely.
Understanding Shingles
Shingles, also known as herpes zoster, usually affects people who have had chickenpox in the past. After a person recovers from chickenpox, the virus remains dormant in the body and can reactivate years later as shingles. The infection typically causes a painful rash, blisters, and sometimes nerve pain that can last for weeks or even months.
The rash typically appears in a stripe or band on one side of the body, often on the torso, face, or neck. It can be itchy, burning, or tingling, and the pain can be intense. In some cases, the pain continues even after the rash has healed, a condition known as postherpetic neuralgia.
Shingles is contagious to people who have never had chickenpox or have not been vaccinated for it, so it is important to take precautions when dealing with the infection.
How Over the Counter Creams Help with Shingles
While prescription medications such as antiviral drugs are often used to treat shingles, over-the-counter creams can help manage symptoms like pain, itching, and inflammation. OTC creams typically provide relief from the discomfort, but they are not a cure for shingles. They can, however, help make the condition more manageable while the body heals.
Types of Over the Counter Creams for Shingles
There are several types of over-the-counter creams that can be effective in relieving shingles symptoms. These creams vary in their active ingredients, and each one works in a slightly different way to address specific aspects of shingles.
1. Hydrocortisone Cream
Hydrocortisone cream is a mild corticosteroid that can help reduce inflammation and relieve itching associated with shingles. This cream works by suppressing the immune response that causes inflammation in the affected area. By reducing inflammation, hydrocortisone cream can make the rash less red and swollen, providing some relief from the discomfort.
Hydrocortisone cream is generally safe for use on the skin, but it should be used with caution, especially on broken skin or open blisters. It is important to avoid applying too much or using it for extended periods, as prolonged use of corticosteroids can thin the skin.
How to use hydrocortisone cream: Apply a thin layer of the cream to the affected area once or twice a day. Be sure to wash your hands before and after applying the cream. If you have open blisters, it’s best to avoid applying hydrocortisone directly to those areas, as it can increase the risk of infection.
2. Calamine Lotion
Calamine lotion is another popular over-the-counter product used for skin rashes, including those caused by shingles. It has a soothing effect on the skin and helps to dry out the blisters. The lotion contains zinc oxide, which can help reduce itching and irritation by creating a protective barrier on the skin.
While calamine lotion may not reduce inflammation as effectively as hydrocortisone cream, it is a great option for soothing the skin and providing relief from the constant itching and discomfort that shingles can cause.
How to use calamine lotion: Apply calamine lotion to the affected area using a cotton ball or clean fingers. Gently dab the lotion on the rash to avoid disturbing the blisters. You can reapply the lotion several times a day as needed for relief.
3. Lidocaine Cream
Lidocaine is a local anesthetic that can be applied topically to numb the skin and relieve pain. Lidocaine cream is particularly useful for managing the pain associated with shingles. By numbing the affected area, lidocaine can provide temporary relief from the sharp, burning pain that often accompanies the rash.
Lidocaine cream works by blocking the nerve signals that transmit pain sensations. It does not treat the underlying infection but can provide significant relief from pain, especially in the early stages of shingles.
How to use lidocaine cream: Apply a thin layer of lidocaine cream to the painful area of the skin, being careful to avoid contact with open blisters or broken skin. Typically, lidocaine cream can be applied up to three to four times a day, but it is important to follow the instructions on the product label for proper use.
4. Capsaicin Cream
Capsaicin is a compound found in chili peppers that has been shown to help reduce pain by depleting the neurotransmitter substance P, which is responsible for sending pain signals to the brain. Capsaicin cream can be used to reduce the nerve pain that persists after the shingles rash has healed, known as postherpetic neuralgia.
Although capsaicin cream may not be as effective during the active stages of the rash, it can be beneficial for managing chronic pain after the rash has healed. It works best when used consistently over a period of time.
How to use capsaicin cream: Apply a small amount of capsaicin cream to the affected area, gently massaging it into the skin. Be sure to wash your hands thoroughly after applying the cream, as capsaicin can cause a burning sensation if it comes into contact with sensitive areas like the eyes or mucous membranes.
5. Oatmeal Creams or Bath Soaks
Oatmeal has long been used as a natural remedy for skin irritation and itching. Oatmeal-based creams and bath products can provide relief from the itching and irritation that often accompanies shingles. Colloidal oatmeal is the form of oatmeal typically used in these products, and it works by creating a protective barrier on the skin and soothing inflamed areas.
While oatmeal creams are not as effective for reducing pain or inflammation, they are excellent for relieving the itching that can make shingles unbearable.
How to use oatmeal creams or bath soaks: Apply oatmeal cream to the affected area as directed on the product label. If you prefer an oatmeal bath soak, add colloidal oatmeal to warm bathwater and soak for about 15 to 20 minutes. This can help soothe the skin and provide relief from itching.
Other Considerations for Shingles Treatment
While over-the-counter creams can help alleviate some of the symptoms of shingles, it is important to take a comprehensive approach to treatment. In addition to using creams, other treatments may be necessary to fully manage shingles symptoms.
1. Antiviral Medications
For more severe cases of shingles, antiviral medications such as acyclovir, valacyclovir, or famciclovir may be prescribed by a healthcare provider. These medications can help reduce the severity and duration of the infection, especially if taken early in the course of the illness.
2. Pain Relief Medications
In addition to topical creams, over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce the pain associated with shingles. For more intense pain, your doctor may prescribe stronger pain medications or even nerve-blocking treatments.
3. Cool Compresses
Applying a cool compress to the affected area can help reduce swelling and provide relief from the itching and pain. Simply soak a clean cloth in cold water, wring it out, and gently press it against the rash for several minutes.
When to Seek Medical Attention
In most cases, shingles can be managed with over-the-counter creams and other self-care measures. However, it is important to seek medical attention if you experience any of the following:
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The rash spreads to your eyes or face.
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You have a weakened immune system or other health conditions that may complicate the infection.
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The pain is severe or persistent.
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The rash does not improve after several weeks or new symptoms develop.
A healthcare provider can evaluate your condition and recommend additional treatments if necessary.
Conclusion
Shingles can be a painful and uncomfortable condition, but with the right treatment, the symptoms can be managed effectively. Over-the-counter creams such as hydrocortisone, calamine lotion, lidocaine, capsaicin, and oatmeal-based products can provide relief from the pain, itching, and inflammation associated with shingles. While these creams do not cure shingles, they can make the condition more bearable while the body heals.
It is important to follow the instructions for each product and to use them as part of a comprehensive treatment plan that may include antiviral medications and pain relief options. Always consult a healthcare provider if you have any concerns about your shingles symptoms or treatment plan.
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