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Shingles Vaccine - A Shield Against a Painful Intruder

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The shingles vaccine reduces the likelihood of developing shingles, which is a distressing skin rash resulting from the Varicella-zoster virus.

Written by

Dr. Kinjal Shah

Medically reviewed by

Dr. Kaushal Bhavsar

Published At December 14, 2023
Reviewed AtDecember 14, 2023

Introduction

Anyone who has had chickenpox is susceptible to shingles, commonly known as herpes zoster, a painful and sometimes crippling viral infection. Even though shingles on its own may not pose a life-threatening risk, it can nonetheless result in serious discomfort, ongoing nerve pain, and problems, particularly in elderly people and people with compromised immune systems. The shingles vaccination, fortunately, is a very effective way to prevent shingles.

What Are Shingles?

The Varicella-zoster virus, which also causes chickenpox, is the virus that causes shingles. The virus stays latent in nerve cells close to the spinal cord and brain even after a person has recovered from chickenpox. The virus can, however, reactivate later in life and result in shingles.

The most common symptom of shingles is a painful rash that is frequently accompanied by tingling, burning, and itching. A ring or strip of blisters on one side of the body or the face often marks the rash. In addition to the itchy rash, shingles can result in postherpetic neuralgia (PHN), which is a disorder marked by ongoing pain in the location where the rash first appeared. A person's quality of life can be greatly diminished by PHN, which can endure for months or even years.

What Is a Shingles Vaccine?

The varicella-zoster virus causes the painful and possibly crippling illness known as shingles, which may be prevented by receiving the shingles vaccination. It is designed particularly to boost the immune system and produce antibodies against the virus, hence lowering the chance of developing shingles and associated side effects. Due to its improved efficacy in preventing shingles and postherpetic neuralgia (PHN), a persistent pain condition that can develop after an epidemic of shingles, the Shingles vaccine is the more modern and highly advised form. The vaccine is often given in two doses and offers long-lasting protection against shingles, especially in those 50 years of age and older or those who have had chickenpox in the past.

How Does the Shingles Vaccine Work?

This is how the vaccination functions:

  • Increasing Immunity: A weakened version of the Varicella-zoster virus is included in the shingles vaccination. It activates the immune system to manufacture antibodies against the virus when given. If the virus tries to reactivate later in life, these antibodies aid the body in identifying it and fighting it off.

  • Highly Effective: The shingles vaccine has been demonstrated to be more than 90 percent effective at preventing shingles and PHN, making it the newer and more frequently advised shingles vaccine. Even if a person who has had the vaccination develops shingles, the shot can lessen the intensity and length of their sickness.

  • Two-Dose Regimen: The shingles vaccine is normally taken twice, two to six months apart. This two-dose course provides robust defense, with immunity lasting at least four years and probably longer.

Who Should Get the Shingles Vaccine?

Individual risk factors and healthcare practitioner advice should be taken into consideration when deciding whether to obtain the shingles vaccination. The Centers for Disease Control and Prevention (CDC) does, however, offer basic recommendations on who should think about getting the shingles vaccination. The following main categories of people should think about having the shingles vaccine:

  • Adults 50 Years and Older: Older people are more likely to have shingles, and as people age, they are also more likely to develop postherpetic neuralgia (PHN), one of the disease's consequences. Therefore, it is highly advised for persons 50 and older to get the shingles vaccination.

  • People Who Have Previously Had Shingles: Even if one already experienced shingles, they should still think about being vaccinated. The chance of a subsequent episode can be decreased by immunization.

  • People Who Have Had Chickenpox: In the United States, approximately ninety-nine percent of individuals born before 1980 have had chickenpox, which increases their chance of acquiring shingles. It is normally safe and beneficial to have the shingles vaccination as a preventive strategy, even if the history of chickenpox is unclear.

  • People Who Have Had the Older Zostavax Vaccination: It is still advised to acquire the more recent and potent shingles vaccine vaccination if one has already had the older Zostavax vaccine for better protection against shingles.

  • Those Who Have Certain Medical Conditions: People whose immune systems have been compromised by illnesses or drugs may be more susceptible to developing problems from shingles. For these people, healthcare practitioners may occasionally advise getting the shingles vaccination, but it is vital to speak with a healthcare expert for specific advice.

Who Should Not Get the Shingles Vaccine?

  • A person who has experienced a severe adverse response to a shingles vaccine dosage or any vaccination component.

  • Present with shingles.

  • Pregnant women.

What Are the Side Effects of Shingles Vaccination?

The following are some typical side effects and what to anticipate:

  • The most frequent adverse effect, pain, redness, or swelling at the injection site, is often not severe. It might continue for a few days.

  • After getting the vaccination, some people may experience weariness.

  • Mild muscular discomfort is another typical adverse effect, as is muscle soreness.

  • Mild headaches are something that some individuals could suffer.

  • In rare cases, people may feel chills or a low-grade fever.

  • Nausea or stomach pain may be experienced.

These adverse reactions are frequently minor and transient, typically only lasting a day or two. It is uncommon for the shingles vaccination to cause severe adverse effects.

How Well Does the Shingles Vaccine Work?

The most frequent consequence of shingles, postherpetic neuralgia (PHN), is well protected against by two doses of vaccine.

  • The vaccine was 97 percent effective in preventing shingles in persons aged 50 to 69 who had robust immune systems; in those aged 70 and beyond, it was 91 percent effective.

  • It was 91 percent effective at preventing PHN in people 50 and older and 89 percent effective in those 70 and older.

  • Depending on the underlying immunocompromising disease, the vaccine was between 68 percent and 91 percent effective in preventing shingles in persons with compromised immune systems.

  • In patients aged 70 and older with strong immune systems, the protection persisted for seven years after vaccination.

Conclusion

A vital aid in preventing shingles, a painful and even crippling illness, is the shingles vaccination. In addition to lowering the likelihood of developing shingles, it also lessens the intensity and length of the condition should it do so. One can consult with the healthcare physician to find out if the shingles vaccination is suggested to lower the chance of developing postherpetic neuralgia. The shingles vaccination is a potent defense against this excruciating invader, and it is important to keep in mind that prevention is frequently the best therapy.

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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