The virus directly damages the nerves, and the pain during a shingles outbreak can be very...
Q: Is there anything that I can do for pain after having shingles? I had shingles 18 months ago and I still have pain on my right side in my breast and arm. I took gabapentin, plus two other prescriptions, and they all upset my stomach so bad that I had to quit. I have used lidocaine patches, but they help very little.
Gabapentin and the closely related pregabalin are effective drugs for many people. Another class, called the tricyclic antidepressants, are also useful. There are many different ones, and it can take some tries before finding one that is effective without too many side effects. Experts in pain management will often try additional drug classes, such as anti-seizure drugs and other antidepression drugs like duloxetine.
In my experience, the best approach is to be very direct, something along the lines of: “I wanted a second opinion and was recommended these other treatments. However, I value your judgment and want to know what you think about them.” It’s hard for a physician to get upset about that. In my opinion, it’s far more dangerous to your relationship with your doctor, and your medical care, to not say anything.
Makeup can block these glands and predispose someone to hordeola. Hordeola are treated with warm compresses, and sometimes by an eye specialist, with a combination of antibiotic drops and topical steroids. Drainage by an ophthalmologist is necessary if it doesn’t get better within one to two weeks. If the infection gets into the skin around the eye, it may need oral antibiotics.
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