Herpes Zoster: Counseling Patients About Prevention and Treatment

摘要

Herpes zoster (shingles), which is caused by the same virus as chickenpox, is a painfui and debilitating disease that has dermatologic, neurologic, vascular, and ophthalmic consequences and may result in physical, psychological, and financial stresses. Advanced age is the strongest risk factor for a shingles outbreak. Recommendations exist regarding which individuals should be vaccinated, and at what age. Pharmacists have a crucial role in educating patients about herpes zoster and preventive measures, including the appropriateness of vaccination. Pharmacologic management aims to treat the patient's clinical manifestations of shingles. Drugs used to treat this disease include antivirals, anttconvulsants, tricyclic antidepressants, and opiates. Pharmacists can assist patients by performing drug-utilization reviews and medication therapy management, as well as by providing counseling on treatment.