Treating neuralgia as a complication of shingles
Antiviral treatment can reduce viral activity and the acute pain of shingles and heal the rash more quickly. To be effective, the treatment must, however, start no later than 72 hours after the rash first started to appear. However, antiviral treatment has not been shown to reduce the risk of neuralgia as a complication of shingles.
In general, neuralgia is difficult to alleviate. This is also true of neuralgia as a complication of shingles. Painkillers containing paracetamol or ibuprofen are often the first option. If these do not help, a doctor can put the patient on prescription medication.
It is not uncommon that several different drugs needs to be tried, sometimes in combinations, before the best individual pain relief is found, without too troublesome side effects and without interactions with other drug treatments the patient may be taking.