Associated symptoms of shingles on the head
Before the onset of the characteristic symptoms, patients often report fatigue, headaches and aching limbs, slight fever and sensations of discomfort in the skin area. As a result, the herpes zoster blisters develop within a few days and the pain develops. If treatment is not given, the viruses can spread further along the cranial nerves and damage the nerves. This can lead to complications, some of which can be severe. Paralysis, impaired vision and hearing, severe nerve pain and severe infections are possible.
Therapy of shingles on the head
The treatment of shingles depends on the clinical picture, age and health status of the patient. If the head is affected, drug-based antiviral therapy is usually always necessary to avoid possible complications. Commonly used antivirals are Aciclovir, Famciclovir, Valaciclovir and Brivudin.
These are usually taken in the form of tablets. In the case of particularly severe courses, administration via the vein is also possible. Antivirals inhibit the multiplication of the viruses and thus lead to a faster healing of the skin lesions and an easing of the pain symptoms.
If antiviral therapy is started early, the course of the disease can be significantly shortened. Painkillers are often prescribed to accompany the antiviral therapy. Some of the common painkillers (ibuprofen, diclofenac, ASA) have only limited effectiveness.
For this reason, light opioids as well as antidepressants (amitryptilin) and antiepileptic drugs (pregabalin, gabapentin, carbamazepine) are often administered. Antiseptic, desiccating and crust-relieving ointments are used to treat herpes zoster blisters. These ointments are used especially on the face to prevent healing and scarring. At the same time a bacterial infection of the blisters can be prevented.
What do I have to consider when washing my hair?
Shingles on the head often also affects the scalp in the area of the hairline. The formation of blisters and crusts causes the hair to stick together and causes severe itching. When washing the hair, however, care should be taken to use a mild (soap-free) shampoo (‘baby shampoo’). The regular application of an ointment to improve wound healing may also be indicated. The use of perfumed soap shampoos or shower gels may cause severe irritation of the skin with pain and itching.