What is the best approach to manage shingles in a patient with multiple myeloma?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 4, 2026View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Management of Shingles in Multiple Myeloma Patients

Treat active shingles in multiple myeloma patients with acyclovir or valacyclovir immediately, and ensure all patients on proteasome inhibitor therapy receive antiviral prophylaxis to prevent herpes zoster reactivation. 1

Immediate Treatment of Active Shingles

When a multiple myeloma patient presents with active shingles (herpes zoster), initiate antiviral therapy promptly:

  • Start acyclovir or valacyclovir immediately for treatment of active infection 2
  • The standard treatment approach mirrors that for immunocompromised hosts, requiring early intervention to prevent complications including dissemination, visceral involvement, and post-herpetic neuralgia 3
  • Multiple myeloma patients are at significantly higher risk (10-fold) for viral infections compared to healthy individuals, making aggressive treatment essential 1

Prophylactic Antiviral Therapy - Critical for Prevention

All multiple myeloma patients receiving proteasome inhibitor-based therapies (bortezomib, carfilzomib, ixazomib) must receive herpes zoster prophylaxis with acyclovir or valacyclovir - this is a Grade 1A recommendation 1

Specific Prophylaxis Guidelines:

  • Continue antiviral prophylaxis for six weeks after discontinuation of the proteasome inhibitor, not just during active treatment 1
  • Prophylaxis is also strongly recommended during autologous or allogeneic stem cell transplantation, particularly in patients with positive varicella-zoster serology 1
  • For patients on immunomodulatory drugs (lenalidomide, pomalidomide), herpes virus prophylaxis should be administered to reduce viral reactivation risk 2

Treatment Regimen Selection Considerations:

The guidelines specifically note that herpes zoster prophylaxis is recommended for all patients treated with proteasome inhibitors 1, and this applies regardless of whether the patient is receiving:

  • Bortezomib-based regimens (VRd, bortezomib/dexamethasone, bortezomib/liposomal doxorubicin) 1
  • Carfilzomib-based regimens 1
  • Ixazomib-based regimens 1

Risk Factors Requiring Heightened Vigilance

Multiple myeloma patients face compounded infection risk due to:

  • Myeloma-related innate immunodeficiency affecting B-cells, dendritic cells, T-cells, and NK cells 1
  • Age-related frailty - MM predominantly affects elderly patients with baseline immune senescence 1
  • Treatment-induced immunosuppression from corticosteroids, proteasome inhibitors, and immunomodulatory agents 1
  • Infections represent the main cause of death in myeloma patients, with 22% of deaths at one year attributed to infection 1

Monitoring and Complications

Watch for Severe Complications:

In immunocompromised myeloma patients, shingles can present with:

  • More severe disease lasting up to two weeks with numerous lesions, often with hemorrhagic base 3
  • High risk for cutaneous dissemination and visceral involvement including viral pneumonia, encephalitis, and hepatitis 3
  • Involvement of two or more dermatomes is more common than in immunocompetent hosts 3
  • Chronic or recurrent shingles may occur, particularly in heavily treated patients 3

Post-Herpetic Neuralgia Management:

  • May persist for weeks to over one year 3
  • Requires analgesics, potentially including amitriptyline hydrochloride and fluphenazine hydrochloride for severe cases 3

Critical Pitfall to Avoid

Never use live-attenuated varicella-zoster vaccine in multiple myeloma patients receiving active therapy - live vaccines are contraindicated (Grade 2C) due to risk of precipitating serious infections 1, 2

Additional Supportive Measures

  • Maintain low threshold for empiric antibiotics if fever develops (temperature >38°C) given the immunocompromised state 2
  • Ensure close household contacts receive all seasonal vaccines including influenza to create a protective environment 2
  • Consider consultation with infectious disease specialists for complex cases or atypical presentations 2

The evidence strongly supports that prophylaxis is more effective than treatment in this vulnerable population, making routine antiviral prophylaxis during proteasome inhibitor therapy a cornerstone of supportive care in multiple myeloma management 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Preventing Myelitis through Antimicrobial Prophylaxis and Immunoglobulin Replacement

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Related Questions

What routine labs should be checked in a 60-year-old adult patient with a history of multiple myeloma (MM) in remission?
Can Augmentin (amoxicillin-clavulanate) be given to a patient with multiple myeloma?
What is the diagnosis and management for a 42-year-old male (m) smoker with a 20 pack-year history, presenting with a 3-day history of painful, itchy blisters in the right ear with clear liquid discharge, who has been scratching the area, with no reported facial paralysis, fever, or systemic symptoms?
What is the best treatment approach for a 53-year-old female patient with shingles, elevated white blood cell (WBC) count, hyperglycemia is not present but has impaired renal function, as indicated by a slightly elevated creatinine level, and abnormal blood cell counts, including elevated red blood cell (RBC) count, hemoglobin, and hematocrit, and low mean corpuscular hemoglobin concentration (MCHC)?
What is the recommended management plan for a 47-year-old adult with a diagnosis of herpes zoster (shingles), presenting with ongoing fatigue, headaches, and an itchy rash on the buttocks?
What billing level should I charge for a wellness exam for a 65-year-old patient with Medicare supplemental insurance?
What are the next steps in managing a patient with cholestasis who is negative for hepatitis A, B, C, and E?
What is the best course of action for a male patient with diabetes mellitus, hypertension, chronic kidney disease, and hyperlipidemia, who has an elevated Hemoglobin A1c level, impaired renal function, and obesity, and is currently being treated with Farxiga (Canagliflozin) and glipizide?
Can press-on nails lead to onychomycosis?
What could be the cause of left lower quadrant pain in a 29-year-old male?
What is the recommended treatment for a patient diagnosed with cystitis?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.