Who Should Get the Shingles Vaccine?

Are you thinking about getting the shingles vaccine? Maybe you've read about the shingles vaccine in the news, or friends have talked about it. If you're over age 60, the shingles vaccine may help you avoid getting shingles. And if you've had shingles, the shingles vaccine may help prevent a recurrence.

Shingles (herpes zoster) is a painful skin rash, often with blisters that's caused by the varicella-zoster virus, the same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully cleared from the body. Instead, the virus remains dormant in the nerve tissues. When physical or emotional stresses to the body weaken the immune system, the virus reactivates and spreads along the nerve fibers to the particular area of skin supplied by the involved nerve.

The first sign of shingles is often burning or tingling pain, or sometimes numbness or itch, in one particular location on only one side of the body. After several weeks, the rash develops.

What does the shingles vaccine do?

The shingles vaccine, Zostavax (available at our pharmacy), contains a weakened chickenpox virus (varicella-zoster virus). The shingles vaccine helps stimulate your immune system to battle disease caused by the varicella-zoster virus, reducing the risk of getting shingles in people aged 60 and older. In scientific studies, the shingles vaccine reduces the risk of developing shingles by about 50%.

Findings show that the shingles vaccine also helps people with shingles have shorter periods of nerve pain called postherpetic neuralgia (PHN), which is extremely painful and can last anywhere from 30 days to months or even years after the rash has resolved. The nerve pain associated with shingles can be so severe in some people that it disrupts their lives.

Not only does the shingles vaccine help prevent shingles in the person receiving the immunization, but the shingles vaccine also helps prevent shingles in those who are around unvaccinated people. Because shingles is a contagious viral infection, the shingles vaccine works to stop the spread of the virus just like childhood immunizations for varicella or measles, mumps, and rubella.

If a person with shingles passes the virus to someone who has never had chickenpox, the newly infected person will develop chickenpox, not shingles.

Who should get the shingles vaccine?

Shingles most commonly occurs in people 50 years old or older, people who have medical conditions that keep the immune system from working properly, or people who receive immunosuppressive drugs.

The CDC recommends a single dose of the shingles vaccine for people aged 60 and older, even if they've already had a bout of shingles. There are about 50 million Americans over age 60; more than 95% had chickenpox as children, making millions of older adults vulnerable to shingles.

Who should not get the shingles vaccine?

According to the CDC, don't get a shingles vaccine if you've have the following:

• A life-threatening allergic reaction to gelatin, the antibiotic neomycin, or any other component of the shingles vaccine. Tell your doctor if you have any severe allergies.

A weakened immune system because of:

• HIV/AIDS or another disease that affects the immune system


• Treatment with drugs that affect the immune system, such as steroids


• Cancer treatment such as radiation or chemotherapy


• A history of cancer affecting the bone marrow or lymphatic system, such as leukemia or lymphoma
  
• Active, untreated tuberculosis


• Pregnancy (or might be pregnant). Women should not become pregnant until at least three months after getting shingles vaccine.

If I have a cold, can I get the shingles vaccine?

If you have a minor illness like a cold, it's OK to get the shingles vaccine. But if you are moderately or severely ill, it's best to wait until you recover to get the shingles vaccine.

Are there side effects with the shingles vaccine?

Similar to a flu shot, the shingles vaccine is given in the back of the upper arm. Side effects of the shingles vaccine may include redness, soreness, swelling, or itching at the site of the injection. Less common side effects include headache.

Will Medicare or my health insurance pay for the shingles vaccine?

While details are still coming in, the shingles vaccine is anticipated for coverage (reimbursement) under Medicare Part D program, but check ahead to make sure. Also, check with your health insurance provider to see if they reimburse for the shingles vaccine.

Should I get the shingles vaccine if I've already had shingles?

According to the CDC, the shingles vaccine should be given regardless of a history of shingles. Because shingles can recur, the shingles vaccine may give protection from having shingles again.

Can I get the shingles vaccine if I'm under 60?

Some physicians may offer "off-label" shingles vaccines to patients, aged 50 to 59, in hopes of providing earlier protection against shingles. "Off-label" refers to drugs that are used in ways that have not been approved by the FDA. Keep in mind that researchers still don't know how long immunity lasts with the shingles vaccine.

If you would like to set up an appointment or more information about the Shingles Vaccine for either you or a loved one, please call the pharmacy. We look forward to answering your questions.