From the Guidelines
It is not recommended to apply menthol to a herpes zoster (shingles) rash. Menthol-containing products like topical creams, ointments, or patches may temporarily relieve pain through their cooling sensation, but they can potentially irritate the sensitive skin affected by shingles and worsen discomfort. According to a recent study published in the Mayo Clinic Proceedings in 2023 1, other potential topical treatments include over-the-counter diclofenac 1% gel and compounded gabapentin 6% ointment, but menthol is not specifically recommended for shingles rash.
Key Considerations
- For shingles pain and rash management, use prescribed antiviral medications like acyclovir, valacyclovir, or famciclovir, which are most effective when started within 72 hours of rash appearance.
- For pain relief, consider calamine lotion, colloidal oatmeal baths, or cool compresses.
- Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain.
- Keep the rash clean and dry, avoid scratching, and wear loose-fitting clothing to prevent irritation.
Important Notes
- Shingles is caused by the reactivation of the varicella-zoster virus (the same virus that causes chickenpox) and requires proper medical treatment to reduce the duration of symptoms and prevent complications like postherpetic neuralgia.
- The study published in the Mayo Clinic Proceedings in 2023 1 discusses various management options for erythromelalgia, but it does not specifically recommend menthol for shingles rash, and its use may be potentially irritating to the sensitive skin affected by shingles.
From the Research
Herpes Zoster (Shingles) and Menthol Application
- There is no direct evidence in the provided studies to suggest that menthol can be applied to a herpes zoster (shingles) rash 2, 3, 4, 5, 6.
- The studies focus on the causes, symptoms, and treatment of herpes zoster, including antiviral medications and pain management strategies 2, 3, 4, 5.
- Treatment options for herpes zoster include orally administered acyclovir, famciclovir, and valacyclovir, as well as topical lidocaine or capsaicin for pain control 3, 5.
- Postherpetic neuralgia, a common complication of herpes zoster, can be managed with tricyclic antidepressants, anticonvulsants, or nerve blocks 3, 5.
- There is no mention of menthol as a treatment or reliever for herpes zoster symptoms in the provided studies.