Shingrix is the new shingles vaccination. The CDC is now recommending Shingrix instead of Zostavax. Recommendations for administration of Shingrix are two doses separated by 2-6 months. Healthy adults ages 50 and greater are the population that should be immunized. Shingrix is NOT a live vaccination, so it can be used in a wider range of patient population. Shingrix has been shown to be >90% effective at protecting against shingles and post herpetic neuralgia when both doses are administered.
In adults 50 to 69 years old who received two doses, Shingrix was 97% effective in preventing shingles and 91% effective in preventing post herpetic neuralgia. In adults 70 years and older who received two doses, Shingrix was 91% effective in preventing shingles and 89% effective in preventing post herpetic neuralgia. At least 85% coverage has been shown even 4 years after the initial vaccination series.
Patients should receive Shingrix even if they have had shingles, already had Zostavax, or if chicken pox status is unknown. Patients should wait 8 weeks if he/she has recently had Zostavax before getting Shingrix vaccinations. There is no maximum age for the vaccination as risk of shingles and post herpetic neuralgia increase with age.
Patients that should not receive Shingrix are those who are allergic to Shingrix, pregnant or breastfeeding, currently have shingles, or have tested negative for immunity to varicella zoster
If a patient has a minor illness with temperature <101.3F, he/she may receive the vaccination. If a patient has a moderate-severe illness or if temperature is >101.3F, wait until he/she is well before receiving the immunization.
Side effects in studies last 2-3 days included, a sore arm with mild-moderate pain, redness and swelling at injection site, feeling tired, muscle pain, headache, shivering, fever, stomach pain, or nausea. Signs of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, rapid heartbeat, dizziness, and weakness.
For more information about the Shingrix vaccination, you are welcome to call the Steelville Medical Office at 573-775-4600 or check the Shingrix website: https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html