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Shingrix

Shingrix is a recombinant zoster vaccine used to prevent shingles (herpes zoster) in adults aged 50 years and older. Shingles is a painful rash caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. Shingrix helps boost the immune system's response to this virus, significantly reducing the risk of developing shingles and its complications.



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Frequently Asked Questions

How effective is Shingrix in preventing shingles?
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Shingrix is about 90% effective in preventing shingles and its complications.

Can I receive Shingrix if I have had shingles before?
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Yes, individuals who have had shingles can still benefit from receiving Shingrix to help prevent future occurrences.

Are there any specific dietary restrictions while receiving Shingrix?
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There are no specific dietary restrictions associated with the administration of Shingrix.

What should I do if I miss a dose of Shingrix?
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If you miss the second dose of Shingrix, schedule it as soon as possible. It can be given anytime between 2 to 6 months after the first dose.

Is Shingrix safe for long-term use?
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Shingrix is safe and recommended for long-term protection against shingles; however, it is not administered on a continuous basis but rather as a two-dose series. Regular consultation with a healthcare provider is encouraged to monitor ongoing health.

Comprehensive Drug Guide

How Does Shingrix Work?

  • Stimulating the immune system: It contains a non-live component of the varicella-zoster virus (VZV) and an adjuvant, which enhances the body’s immune response. This leads to the production of antibodies against the virus, providing protection against shingles.


Common Dosages

  • Intramuscular injection: The standard regimen involves two doses, with the second dose given 2 to 6 months after the first dose.

Typical Dosing

  • The usual dosing schedule is:
  • Dose 1: Administered intramuscularly, followed by
  • Dose 2: Administered intramuscularly 2 to 6 months after the first dose.


Typical Dosing

FDA Approved Indications

  • Prevention of herpes zoster (shingles) in adults aged 50 years and older.


Who Shouldn't Take Shingrix?

  • Known hypersensitivity to any component of the vaccine.
  • A history of a severe allergic reaction (e.g., anaphylaxis) to a previous dose of Shingrix or any component.


Advice From The Pharmacist

  • Instruct patients on the importance of completing the two-dose series for optimal protection against shingles.
  • Advise patients to report any severe reactions following vaccination, including high fever or signs of an allergic reaction.
  • Discuss potential side effects, including injection site pain, fatigue, and mild fever, which are generally short-lived.


Side Effects of Shingrix

Common Side Effects

  • Pain at the injection site
  • Fatigue
  • Headache
  • Muscle pain
  • Fever


Uncommon/Severe Side Effects

  • Severe allergic reactions (such as rash, itching, or difficulty breathing).


Risks and Warnings of Shingrix

  • Immunocompromised Patients: Shingrix is not recommended for use in individuals with weakened immune systems, such as those undergoing cancer treatment or with advanced HIV/AIDS, unless advised by a healthcare provider.
  • Infection Risk: Patients with acute moderate or severe illness should delay vaccination until recovery.

Interactions with Shingrix

Common Drug Interactions

  • Other Vaccines: Patients should inform their healthcare provider about any recent vaccinations or planned vaccinations, as timing may need to be adjusted.


Alternatives to Shingrix

  • Other Vaccines: Alternatives may include the older Zostavax vaccine, though Shingrix is preferred due to its higher efficacy and safety profile.