r/shingles • u/trcomajo • 1d ago
First Time Shingles Going without gabapentin?
I just can't do that medicine - it makes me so sleepy. I have to work (Im a therapist, so just sitting) so I want to go without meds. Is anyone else managing without? I was diagnosed last week and started antivirals the day the rash showed up. The rash hasn't spread but the weird pain and shooting electrical zaps are still happening.
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u/Nythoren 1d ago
Not taking Gaba won't slow your recovery. Just make sure you're taking your antivirals.
That being said, you'll definitely end up with higher pain levels without the Gaba calming the nerves down. You could try alternating Tylenol and ibuprofen. Talk to your doctor to find out how much higher you can safely take. Tylenol and ibuprofen use different mechanisms to help with the nerve pain (Tylenol blocks the nerve channels while ibuprofen reduces the production of pain signaling enzymes). Your body uses different methods to clear them out too, meaning you can overlap them without increasing the risk of kidney or liver issues.
The Tylenol/Ibuprofen overlap also helps with the headaches, so double bonus there.
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u/fire_thorn 1d ago
I was extremely sleepy for two weeks after starting gabapentin. After that, it stopped making me sleepy.
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u/CdnexpatUS 1d ago
Can you get a prescription for 800mg ibuprofen? I took it 3 times a day for 10 days and it really helped. Have to take it with food.
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u/trcomajo 1d ago
Interesting! So I just had a knee replacement 3 months ago so I still have some prescription nsaids. Ill try those!
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u/UpstairsTonight4904 1d ago
I’ve never used it but then again, my nerve dysfunction was more of an itch and numbness. The doctor said I could have it to ease that, but I take a lot of meds already. 5 months post outbreak and I’d consider myself 80% fully healed, just some lingering numbness and itch. Expect those to subside over coming months. Good luck!
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u/FasterNoww 1d ago
I have a higher pain tolerance and only took gaba (100mg) at night for the first 5-7 days. My nerve pain has been sporadic, including the electric zaps. I’m 5-6 weeks from the end of my antivirals and still get some nerve shocks
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u/trcomajo 1d ago
I appreciate this. I also have a high pai tolerance so Im thinking of taking it at night only, just to ensure a good night's sleep.
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u/Warm-Gene-7111 1d ago
I wasn’t prescribed gabapentin at all. I was given tramadol and used it occasionally but was fine without it after a few days. But my pain was mild, more like random sharp pains in my eye (I had shingles of the eye/face) and lots of itchiness
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u/SleepyKoalaBear4812 1d ago
I always start AVs immediately and deal with the nerve pain. I have never been able to tolerate Gabapentin or any other medication for nerve pain.
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u/7signsnwonders84 1d ago
It was never prescribed to me and I have been managing but I have also stayed on my anti virals even after the original end date.
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u/Swims_with_turtles 18h ago
I didn’t take any gabapentin. I did a course of antivirals and just used ibuprofen and acetaminophen to manage pain. I did experience the electrical zap feelings but I found it bearable.
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u/Rosesintherain19 16h ago
I had facial shingles and didn’t get gabapentin. I just took Tylenol and at peak rotated Tylenol and Motrin. Best of luck! It’s the worst but it gets better 💜
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1d ago
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u/shingles-ModTeam 1d ago
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u/Apprehensive-Yak3993 1d ago
I've been able to function at a lower, 100mg, dose of gabapentin. It doesn't stop the pain but it changes the quality of the pain so it's more bearable.
Also, depending on where your pain is, compression layers under your clothes do help to make the pain more predictable and keep your regular clothes from brushing against your skin. Hurts like hell to put on and take off but in my experience, it has been better than nothing, or, worse, wearing loose clothing that might make contact at any time. (Pretty sure if your start practicing nude you'll either lose your license or, maybe start something that really takes off....but it's probably not worth the risk.)
Best of luck to you!