Herpes Zoster Treatment Acyclovir x 7-14 days - Age > 50 - Severe rash or pain - Immunocompromised Patients Benefits (if started within 72 hours): - Decreased duration of viral shedding - Decreased new lesion formation - Decreased duration of acute pain - Decreased incidence of keratitis and uveitis Note: No impact of acyclovir on incidence of Post-Herpetic Neuralgia Ocular: - Refer to Ophthalmologist with ocular involvement. - Lubrication, topical steroids or antibiotics UTSWIM Chiefs @UTSWIMchief #Herpes #Zoster #Treatment #shingles #management
