From the Guidelines
There are no ear drops specifically designed for treating shingles in the ear, and instead, systemic antiviral medications are required to manage the condition, as stated in the clinical practice guideline for acute otitis externa 1. When considering treatment for shingles in the ear, also known as Ramsay Hunt syndrome, it is crucial to prioritize systemic antiviral therapy to address the viral infection effectively.
- The recommended treatment typically involves antiviral medications such as acyclovir, valacyclovir, or famciclovir, which should be started within 72 hours of rash onset to maximize their effectiveness 1.
- Pain management may include oral analgesics like acetaminophen or ibuprofen, and corticosteroids such as prednisone might be added to reduce inflammation and nerve pain.
- It is essential to seek immediate medical attention if shingles in the ear is suspected, as prompt treatment can help prevent complications like hearing loss, balance problems, and facial paralysis.
- Over-the-counter ear drops should not be used to treat ear shingles, as they will not address the underlying viral infection and could potentially worsen symptoms, emphasizing the need for evidence-based treatment approaches like those outlined in the clinical practice guideline 1.
From the Research
Ear Drops for Shingles in the Ear
There is no specific mention of ear drops for shingles in the ear in the provided studies 2, 3, 4, 5.
Treatment Options for Shingles
- The treatment options for shingles include antiviral medications such as acyclovir, valacyclovir, and famciclovir, which are most effective when started within 72 hours after the onset of the rash 2, 3.
- Topical lidocaine or capsaicin and oral gabapentin, pregabalin, or tricyclic antidepressants may be used to control pain and symptoms 3.
- Vaccination with a live attenuated vaccine, Zostavax®, or a recombinant subunit vaccine, Shingrix®, is recommended for older adults to prevent herpes zoster 5.