- The two topical medications used most generally in the management of shingles are lidocaine (in the form of patches) and capsaicin cream.
- The American Academy of Family Physicians (AAFP) reports that lidocaine patches can be used while shingles sores are active, while capsaicin cream is used after sores have crusted over.
- The AAFP recommends using lidocaine patches every four to 12 hours as needed, while capsaicin cream should be applied between three and five times per day.
- Some people may have a painful reaction to the use of capsaicin cream. Treatment with capsaicin should be discontinued if this occurs.
- Individuals with shingles should work with a physician to develop a plan to manage the pain and other effects of shingles.










