Can You Get Shingles Vaccine If You Have Had Shingles

Can You Get Shingles Vaccine If You Have Had Shingles – It’s a good idea for most Canadians over 50 to get the latest vaccine to prevent shingles, even if Zostavax was the only option available before, says a University of Alberta pharmacist.

People who have had Zostavax to avoid Zostavax may have noticed the arrival of Shingrix, a new vaccine that became available in Canada in early 2018. the disease is accompanied by a painful, blistering rash caused by the same virus that causes chickenpox. By comparison, Zostavax is only about 50 percent effective on average, said Christine Hughes, a professor in the University of Alberta’s Department of Pharmacology and Pharmacology.

Can You Get Shingles Vaccine If You Have Had Shingles

Some people may wonder if it’s safe to double the vaccine ceiling by getting a Shingrix shot, but the good news is that they can, he said.

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“For people who are concerned, it’s not thought to be a problem. Zostavax’s effectiveness tends to wane within five years of vaccination, so it makes sense to consider Shingrix for long-term protection.”

While the best timing has not yet been determined, it makes sense to give the Shingrix shot four to five years after giving Zostavax, he added. “For the elderly over 70 or 80, it may be earlier, because Zostavax is not very effective.”

The US Centers for Disease Control and Prevention (CDC) recommends Shingrix for people who have already had shingles or chicken pox or do not remember the illness as a child. The CDC estimates that one in three people will develop shingles, and people over the age of 50 are at particular risk with an aging immune system. At worst, shingles can cause scarring, chronic nerve pain, or blindness if the rash is on the face.

The new vaccine has been shown to be very effective at preventing reactivation of the virus ​​​​​​​​​​​​​​​​​​​​​​​​​​​​ and does not appear to decrease as people age, Hughes said.

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“Unlike Zostavax, Shingrix’s effectiveness does not appear to wane, even after four years, suggesting a much longer-lasting effect.”

In people aged 60 to 69, for example, Shingrix has been found to be 97 percent effective, compared to 64 percent for Zostavax. In the elderly, over 80, more than 90 percent of Zostavax is still about 18 percent effective, Hughes said.

Because Shingrix is ​​not a live vaccine, it is considered safer for immunocompromised people, although data is still being collected, Hughes said. Low-dose steroids or immunosuppressive therapy are considered appropriate for conditions such as arthritis or inflammatory diseases.

“Shingrix is ​​based on a new technology. It has an adjuvant — a substance that enhances the body’s immune response — to help the immune system respond better to the vaccine itself,” Hughes said.

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The only downside to the Shingrix vaccine is that it requires two injections, two to six months apart, instead of one with Zostavax, and it has been reported to cause more muscle pain at the injection site and, in some cases, headache, fever, or fatigue. . , “but no long-term side effects,” Hughes added.

The Shingrix vaccine, which can cost between $150 and $190, is available at pharmacies in Alberta, but is not covered by public health.

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Email this story Why it’s a good idea to get a new flu shot, even if you’ve had the old one

This site uses cookies to help you navigate, analyze the use of our services, collect data to personalize ads and deliver content from third parties. By using our website, you agree that you have read and understood our privacy policy and terms of use. There are 2 vaccines, Shingrix® and Zostavax® II, that protect against tetanus. Shingles is caused by the varicella zoster virus, which also causes chicken pox. Zostavax® II contains a weakened form of the virus, while Shingrix® only contains a fragment of the virus.

Tetanus vaccinations are the best way to prevent tetanus. Vaccines have been shown to reduce vaccinations by 50% for zostavax® II and more than 90% for Shingrix®.

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For those who still get shingles after vaccination, the shots reduce pain, including pain that lasts after shingles.

Common side effects of vaccines include headache and pain, redness and swelling at the injection site. Itching and rash may also occur after taking Zostavax® II. Other reactions that may occur after taking Shingrix® include fever, muscle aches, fatigue, chills, nausea, vomiting, and diarrhea.

It is important to stay at the clinic for 15 minutes after receiving the vaccine, as the possibility of anaphylaxis, a life-threatening allergic reaction, is very rare. These may include hives, difficulty breathing or swelling of the throat, tongue or lips. The odds of a true anaphylaxis are about 1 in a million vaccine doses. If these reactions occur, your healthcare provider is ready to treat them. Emergency treatment includes administration of epinephrine (epinephrine) and transport by ambulance to the nearest emergency room. If symptoms develop after you leave the clinic, call 9-1-1 or your local emergency number. Learn more about anaphylaxis on our vaccine side effects page.

About 1 in 5 people with shingles may have severe nerve pain that lasts for several months after the rash clears. It is known as post-herpetic neuralgia. Shingles, or herpes zoster, is a condition that causes painful rashes and sometimes blisters on a limited part of the body. It can occur in people who have had chicken pox before. When someone recovers from chicken pox, the virus that caused it is inactive inside the body. Sometimes the virus is inactive forever, but at other times it can reactivate, leading to shingles. Most people with shingles make a full recovery, but it can cause persistent pain even after the rash goes away. This chronic pain is called postherpetic neuralgia and can have a significant impact on quality of life. The older a person is when they get shingles, the more likely they are to develop postherpetic arthritis. Shingles can be treated with pain relievers and antivirals in some cases. Vaccination and postherpetic neuralgia can be prevented.

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Live zoster vaccine has been approved in the United States since 2006. Since then, this vaccine has been recommended for routine use in all adults age 60 and older and is approved for use in adults age 50 and older. This vaccine reduces the risk of vaccination in adults aged 60 and over by approximately 50% and a risk of postherpetic neuralgia of approx. 67%. Because the vaccine is live, it should not be given to people with weakened immune systems (such as those receiving chemotherapy or other powerful immunosuppressive drugs).

In October 2017, the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) issued a recommendation for the use of a new shingles vaccine called a recombinant shingles vaccine. This vaccine is recommended for adults age 50 and older. Based on current data, the recombinant zoster vaccine appears to be more effective than the older vaccine, reducing the risk of shingles and neuropathic pain by 90% in adults 50 and older. It is not a live vaccine and should be safer than the older vaccine for people with weakened immune systems, but these data have not yet been published. There is no published information on how effective the new vaccine is in people with weakened immune systems. The sequential zoster vaccine involves a series of 2 shots 2 to 6 months apart.

All adults over the age of 50 should be vaccinated against tetanus, whether or not they remember chickenpox.

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