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Steroid eye drops and drops to dilate the pupil may also be used. The herpes zoster vaccine is recommended for prevention in those over the age of 50. [2] HZO is the second most common manifestation of shingles, the first being involvement of skin of the thorax.
Shingles, also known as herpes zoster, is a viral disease characterized by a painful skin rash with blisters in a localized area. [2] [6] Typically the rash occurs in a single, wide mark either on the left or right side of the body or face. [1] Two to four days before the rash occurs there may be tingling or local pain in the area.
Shingles vaccination is the only way for adults to be protected against both shingles and postherpetic neuralgia, with two vaccines approved for use in people over age 50. [3] The zoster vaccine Shingrix provides around 90% protection from postherpetic neuralgia, and has been used in many countries since 2017.
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[4] [5] It can be given by mouth, by injection into a vein, and as an eye drop. [5] Common side effects include diarrhea, dizziness, and headache. [4] Severe side effects may include spontaneous tendon ruptures, nerve damage, and worsening of myasthenia gravis. [4] Safety of use in pregnancy and breastfeeding is unclear. [6]
It can be taken by mouth, as eye drops, as ear drops, or intravenously. [5] [6] Common side effects include nausea, vomiting, and diarrhea. [5] Severe side effects include an increased risk of tendon rupture, hallucinations, and nerve damage. [5] In people with myasthenia gravis, there is worsening muscle weakness. [5]
Among the common side effects of EBGLYSS were eye and eyelid inflammation, including redness, swelling and itching. Some also experience injection site reactions and shingles (herpes zoster) .
Aciclovir topical cream is commonly associated (≥1% of patients) with: dry or flaking skin or transient stinging/burning sensations. Infrequent adverse effects include erythema or itch. [15] When applied to the eye, aciclovir is commonly associated (≥1% of patients) with transient mild stinging.
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