Nexus Pharmacy
Shingles is a painful condition caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox. Many people believe that once they have had shingles, they are immune to future outbreaks. However, it is possible to get shingles more than once, and in some cases, recurrent episodes can be just as severe as the first.
At Nexus Pharmacy in Nottingham, we want to help you understand the risks of recurrent shingles, how to reduce the chances of another outbreak, and the role of the shingles vaccine eligibility in prevention. If you do experience an outbreak, our Pharmacy First service can provide advice and treatment options to help manage symptoms effectively.
Why Can You Get Shingles More Than Once?
While most people only experience shingles once in their lifetime, some individuals can have multiple outbreaks. This happens because the varicella-zoster virus remains dormant in nerve tissues even after the first episode has cleared. Certain factors can trigger the virus again, leading to a recurrence.
Risk Factors for Recurrent Shingles
Several factors can increase the likelihood of developing shingles more than once, including:
Weakened Immune System – Conditions such as cancer, HIV, and autoimmune diseases can reduce the body’s ability to keep the virus in check.
Ageing – The risk of shingles increases with age, particularly in those over 50, as the immune system naturally weakens.
High Stress Levels – Chronic stress can suppress immune function, making it easier for the virus to reactivate.
Certain Medications – Long-term use of steroids, chemotherapy, or immunosuppressant drugs can lower the body’s defences.
Previous Severe Shingles – If your first episode was widespread or particularly painful, you may be more prone to another outbreak.
How to Reduce the Chances of Another Outbreak
While there is no guaranteed way to prevent shingles entirely, there are steps you can take to lower your risk of recurrence:
1. Get Vaccinated Against Shingles
The shingles vaccine eligibility criteria in the UK currently includes individuals aged 50 and over, as well as those aged 18-49 who have a weakened immune system. The vaccine helps the immune system recognise and control the varicella-zoster virus, significantly reducing the likelihood of developing shingles or experiencing severe symptoms.
There are two vaccines available:
Shingrix – A non-live vaccine recommended for immunocompromised individuals and those over 50. It provides longer-lasting protection than the previous Zostavax vaccine.
Zostavax – A live vaccine that is being phased out in favour of Shingrix but may still be available for certain patients.
If you are unsure about your shingles vaccine eligibility, visit Nexus Pharmacy in Nottingham, and our pharmacists will provide expert guidance on whether you qualify for an NHS or private vaccine.
2. Maintain a Healthy Immune System
A strong immune system can help prevent shingles from reactivating. To keep your immune defences up:
- Eat a balanced diet rich in vitamins and minerals.
- Stay physically active to support overall health.
- Get enough sleep and manage stress effectively.
- Avoid excessive alcohol and smoking, which can weaken immunity.
3. Manage Stress Levels
Chronic stress can contribute to shingles recurrence. Practicing relaxation techniques such as yoga, meditation, and deep breathing can help reduce stress and support immune function.
4. Take Care of Your Skin
If you experience nerve pain after an episode of shingles (postherpetic neuralgia), keeping your skin healthy and avoiding irritation may help prevent further complications. Moisturising and avoiding scratching the affected area can aid recovery and reduce the likelihood of lasting discomfort.
Treatment Options Through Pharmacy First
If you do develop shingles again, getting prompt treatment is crucial to managing symptoms and reducing complications. Through the Pharmacy First service at Nexus Pharmacy in Nottingham, we can provide expert advice and appropriate treatment options, including:
1. Antiviral Medications
Antiviral drugs, such as aciclovir and valaciclovir, work best when taken within 72 hours of the rash appearing. These medications can:
- Reduce the severity and duration of the infection.
- Lower the risk of complications such as postherpetic neuralgia.
- Help prevent the virus from spreading to other areas of the body.
2. Pain Relief
Shingles can cause significant discomfort, and pain management is an essential part of treatment. Pharmacy First allows us to recommend:
- Over-the-counter painkillers such as ibuprofen or paracetamol.
- Topical creams containing lidocaine to numb the affected area.
- Antihistamines to help reduce itching and irritation.
3. Skincare Advice
To prevent infection and promote healing, we may recommend:
- Keeping the rash clean and dry to avoid bacterial infections.
- Using non-stick dressings to cover the affected area if necessary.
- Applying calamine lotion or cool compresses to soothe itching and irritation.
If symptoms worsen or if you are at risk of complications, we may advise you to see a GP for further medical support.
Shingles Relief and Protection
Shingles can be a painful and distressing condition, and while it is possible to experience more than one outbreak, there are ways to reduce your risk. Ensuring you meet shingles vaccine eligibility requirements, maintaining a strong immune system, and managing stress are all key factors in prevention.
If you do develop shingles again, Nexus Pharmacy in Nottingham is here to help. Our Pharmacy First service allows you to access fast, professional treatment without the need for a GP appointment, ensuring you get the relief you need as quickly as possible.
For more information about the shingles vaccine, eligibility criteria, or treatment options, contact Nexus Pharmacy in Nottingham today. Protect yourself from the discomfort of shingles and take control of your health with expert advice and trusted care.
This blog was written on behalf of Nexus Pharmacy by Pharmacy Mentor.