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Prevention

By Mayo Clinic staff

Two vaccines may help prevent shingles — the chickenpox (varicella) vaccine and the shingles (varicella-zoster) vaccine.

Chickenpox vaccine
The varicella vaccine (Varivax) has become a routine childhood immunization to prevent chickenpox. The vaccine is also recommended for adults who've never had chickenpox. Though the vaccine doesn't guarantee you won't get chickenpox or shingles, it can reduce your chances of complications and reduce the severity of the disease.

Shingles vaccine
The varicella-zoster vaccine (Zostavax) can help prevent shingles in adults age 60 and older who've had chickenpox. Like the chickenpox vaccine, the shingles vaccine doesn't guarantee you won't get shingles. But this live vaccine will likely reduce the course and severity of the disease and reduce your risk of postherpetic neuralgia.

The shingles vaccine is recommended for all adults age 60 and older, whether or not they have had shingles previously. The shingles vaccine is used only as a prevention strategy, however. It's not intended to treat people who currently have the disease.

This shingles vaccine isn't recommended if you:

  • Have ever had a life-threatening allergic reaction to gelatin, the antibiotic neomycin or any other component of the shingles vaccine
  • Have a weakened immune system from HIV/AIDS or another disease that affects your immune system
  • Are receiving medical treatments such as steroids, radiation and chemotherapy
  • Have a history of bone marrow or lymphatic cancer
References
  1. Shingles: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/shingles/detail_shingles.htm. Accessed June 17, 2009.
  2. Ferri FF. Herpes zoster. In: Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/143941389-3/853489074/1701/269.html#4-u1.0-B978-0-323-04134-8..50011-2--subchapter24_5768. Accessed June 17, 2009.
  3. Shingles disease: Questions and answers (herpes zoster). Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/shingles/dis-faqs.htm. Accessed June 17, 2009.
  4. Albrecht MA. Epidemiology and pathogenesis of varicella-zoster virus infection: Herpes zoster. http://uptodate.com/home/index/html. Accessed June 18, 2009.
  5. AgePage: Shingles. National Institute on Aging. http://www.niapublications.org/agepages/shingles.asp. Accessed June 18, 2009.
  6. Varicella (chickenpox) vaccine Q&A. Centers for Disease and Prevention. http://www.cdc.gov/vaccines/vpd-vac/varicella/vac-faqs-gen.htm. Accessed June 18, 2009.
  7. Herpes zoster vaccine Q&A (Shingles). Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/shingles/vac-faqs.htm. Accessed June 18, 2009.

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Sept. 4, 2009

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