This article, written by Sidhesh Phaldessai, provides an overview of geriatric psychopharmacology, including the epidemiology of mental health disorders in the older population, the physiological changes that occur with ageing and their impact on pharmacokinetics and pharmacodynamics, and the use of psychotropic medications in older adults
What you need to know about shingles treatment and prevention
+Healthcare Handbook
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What you need to know about shingles treatment and prevention
Thursday 1 December 2022, 01:45 AM
[Image: Heng Dao – iStock.com]
TOMMY COMES UP to you at the counter and pulls up his shirt to reveal a nasty-looking rash on one side of his torso. He said he had COVID-19 two weeks ago and wants to know if the rash could be related to that.
Shingles is a very common viral infection, affecting one in three people in their lifetime, with a 50 per cent risk of developing shingles in those ag
References
- University of Auckland. If you've recently had Covid, look out for shingles. 16 August 2022. https://www.auckland.ac.nz/en/news/2022/08/16/If-youve-had-Covid-look-out-for-shingles.html
- Ministry of Health. Immunisation Handbook 2020. Zoster (herpes zoster/shingles). 14 October 2022. https://www.health.govt.nz/our-work/immunisation-handbook-2020
- Centers for Disease Control and Prevention. Shingles (Herpes Zoster). 2022. https://www.cdc.gov/shingles/index.html
- Mishra KP, Singh M, Saraswat D, et al. Dysfunctional state of T cells or exhaustion during chronic viral infections and COVID-19: A review. Viral Immunology 2022;(35)4:284–90.
- Fookes C (Tech Ed). Shingles. Healthcare Handbook 2022–2023. Auckland, NZ: The Health Media Ltd; 2022
- New Zealand Formulary. 5.3.2.1 Herpes simplex and varicella-zoster infection. NZF v125; 1 November 2022. https://nzf.org.nz/nzf_3432
- BPACnz. Valaciclovir – a first line antiviral medicine. 2016. https://bpac.org.nz/BPJ/2016/March/valaciclovir.aspx
- US Food and Drug Administration. FDA Requires a Warning about Guillain-Barré Syndrome (GBS) be Included in the Prescribing Information for Shingrix. 24 March 2021 https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/fda-requires-warning-about-guillain-barre-syndrome-gbs-be-included-prescribing-information-shingrix