{"id":1446,"date":"2019-02-14T00:00:00","date_gmt":"2019-02-14T00:00:00","guid":{"rendered":"https:\/\/www.aboutskinderm.com\/shingles-vaccine-should-you-or-shouldnt-you\/"},"modified":"2024-04-27T02:10:16","modified_gmt":"2024-04-27T02:10:16","slug":"shingles-vaccine-should-you-or-shouldnt-you","status":"publish","type":"post","link":"https:\/\/www.aboutskinderm.com\/shingles-vaccine-should-you-or-shouldnt-you\/","title":{"rendered":"Shingles Vaccine \u2013 should you or shouldn\u2019t you?"},"content":{"rendered":"<p id=\"\">Every unvaccinated patient that I have seen with a new shingles outbreak has told me emphatically they wish they had opted to get vaccinated. &nbsp; We are fortunate to now have a vaccine that can effectively reduce the risk of getting shingles. &nbsp;Zostavax was the first vaccine approved by the FDA in 2006 for patients older than 60, and in 2017 Shingrix was approved for patients older than 50.<\/p>\n<p id=\"\">Shingles, also called herpes zoster, is a painful viral infection caused by reactivation of the chickenpox virus that lays dormant in nerve roots after the initial chicken pox infection. &nbsp;People affected by the chickenpox virus in their past are all at risk for developing the painful shingles breakout that brings many patients into our office for treatment. &nbsp; The risk for developing shingles increases with age because of age-related weakened immunity, and 50% of people older than 85 will have shingles, and one of every 3 people who are unvaccinated will eventually develop shingles.<\/p>\n<p id=\"\">The lesions of shingles appear as red bumps, clusters of blisters, and red patches in a segmental distribution, usually only on one side of the body. &nbsp; While pain, sometimes prolonged even after the rash goes away, is a dreaded symptom, there are other more dangerous potential outcomes. &nbsp;For example, involvement of the facial areas around the eye can cause visual loss due to scarring of the eye.<\/p>\n<p id=\"\">Treating shingles early, within 72 hours of shingles onset, can reduce the pain and duration of the shingles lesions. &nbsp;Unfortunately, patients are often not aware that they have shingles within this short period of time. &nbsp;Even if treated early, patients are at risk of developing a prolonged pain syndrome called post-herpetic neuralgia.<\/p>\n<p id=\"\">Despite the fact that the shingles vaccine is effective, only 30% of patients older than 60 had received the vaccine by the end of 2015. &nbsp; As Dermatologists who see patients suffering with shingles, we want to educate our patients on the current vaccine recommendations and review the potential associated risks. &nbsp;Our goal is to increase the rates of vaccination.<\/p>\n<h3 id=\"\">Should I get Shingrix or Zostavax?<\/h3>\n<ul id=\"\">\n<li id=\"\">Shingrix, the newest vaccine, is 90% effective in preventing shingles and post-herpetic neuralgia. &nbsp;Additionally, Shingrix does not lose effectiveness in people over age 70 like Zostavax does. &nbsp;Shingrix is a dead version of the virus, while Zostavax is a live virus. &nbsp; Although it requires 2 doses (2-6 months apart), I advise patients to maximize efficacy with the Shingrix vaccination.<\/li>\n<\/ul>\n<h3 id=\"\">Who should get the shingles vaccine?<\/h3>\n<ul id=\"\">\n<li id=\"\">The CDC recommends healthy adults 50 or over get the Shingrix vaccine. &nbsp;Patients receiving immunosuppressive medications (such as biologics for psoriasis) are also potentially eligible to have Shringrix vaccination since it is not a live virus.<\/li>\n<\/ul>\n<h3 id=\"\">What side effects are associated with the Shingrix vaccine?<\/h3>\n<ul id=\"\">\n<li id=\"\">Some patients have reported skin rash, joint pain, flu-like symptoms, headaches, and fatigue lasting 2-3 days. &nbsp;These reported side effects are minimal compared to the devastating symptoms people with a shingles outbreak may endure.<\/li>\n<\/ul>\n<p id=\"\">\n<h3 id=\"\">What if I already had the Zostivax vaccine? &nbsp;Should I get the Shingrix vaccine?<\/h3>\n<ul id=\"\">\n<li id=\"\">Yes. &nbsp;The Shingrix vaccine is significantly more effective. &nbsp;It is also likely that the protective effect of the Shingrix vaccine will last longer than Zostivax. &nbsp;You should wait at least 2 months before receiving Shingrix after Zostivax.<\/li>\n<\/ul>\n<h3 id=\"\">Should I get the Shingrix vaccine if I already had shingles?<\/h3>\n<ul id=\"\">\n<li id=\"\">Yes, you can still get shingles again, so vaccination is still advised.<\/li>\n<\/ul>\n<h3 id=\"\">What is the cost for the vaccines?<\/h3>\n<ul id=\"\">\n<li id=\"\">The shingles vaccines are covered differently than influenza and pneumococcal vaccines. &nbsp;The cost to patients is variable depending on their insurance coverage, and co-pays are sometimes a barrier to getting the vaccine. &nbsp; Shingrix: &nbsp;$290 (includes the required 2 doses); Zostivax: &nbsp;$230 for single dose.<\/li>\n<li id=\"\">Both drugs are covered under Medicare under Medicare Part D (co-pay price depends on tier within individual part D plan). &nbsp;The Affordable Care Act (ACA) requires that vaccines are treated as preventative care meaning cost is typically low for privately insured patients.<\/li>\n<li id=\"\">Keep in mind that coverage may be better when the vaccine is administered at a pharmacy or at physician offices with a pharmacy onsite.<\/li>\n<\/ul>\n<h3 id=\"\">At AboutSkin in Greenwood Village and Lone Tree in the Denver area we are a team of only board-certified dermatologist MDs. &nbsp;We have same day appointments available if you or someone know you has new lesions suspicious for shingles.<\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Every unvaccinated patient that I have seen with a new shingles outbreak has told me emphatically they wish they had opted to get<\/p>\n","protected":false},"author":1,"featured_media":1447,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[71],"tags":[],"class_list":["post-1446","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Shingles Vaccine \u2013 should you or shouldn\u2019t you? 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