Should lupus patients get shingles vaccine?

— NEW YORK -- Vaccination against shingles may be safe for patients with mild, stable systemic lupus erythematosus, a researcher said here. NEW YORK -- Vaccination against shingles may be safe for patients with mild, stable systemic lupus erythematosus, a researcher said here.

Should I get the shingles vaccine if I have lupus?

If you have Lupus, your risk of getting a Herpes zoster infection is higher than for people without Lupus. If you have stable disease, your doctor may offer you a live Herpes zoster vaccine to help prevent these kinds of infections.

Can lupus patients get Shingrix vaccine?

“This is a really, really good vaccine,” Kirchner told MedPage Today. “But the problem is that patients with immune-mediated inflammatory diseases such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and lupus were all excluded from those trials.”

Is there a connection between shingles and lupus?

A study published in The Journal of Rheumatology assessed zoster (shingles) frequency and determined that people with lupus and systemic vasculitis who received intravenous cyclophosphamide (CYC) and steroids are more likely to develop shingles.

Is Shingrix vaccine safe for immunosuppressed patients?

While Shingrix is not contraindicated in immunocompromised people, the Advisory Committee on Immunization Practices (ACIP) at this time does not recommend it for this population.

Expert Insights: Should I get the shingles vaccine?

Should you get the shingles vaccine if you have an autoimmune disease?

1 Shingrix is effective and safe for most people, including people with autoimmune disorders. The CDC currently recommends that people with chronic medical conditions, such as RA, get the shingles vaccine.

Should immunocompromised get shingles vaccine?

Shingrix is recommended to prevent shingles and related complications in immunocompetent adults 50 years and older, and for adults 19 years and older who are or will be immunocompromised. Make every effort to ensure that two doses are administered within the recommended 2–6 month interval.

What medications can trigger shingles?

Steroids and DMARD/biologic combination raised shingles risk

For those with psoriatic arthritis, the medications that raised shingles risk were found to be a combination of disease-modifying antirheumatic drugs (DMARDs) and tumor necrosis factor (TNF) inhibitors, such as Humira.

Is shingles an immune disorder?

Shingles occurs when the varicella-zoster virus is reactivated due to a weakened immune system. This can create a painful, blistering rash. The risk of getting shingles goes up with age, with increased likelihood after age 50.

Why do I keep getting the shingles?

Recurrent shingles occurs when a person repeatedly develops shingles. Risk factors for recurrent shingles include stress, immunosuppressant medications, and HIV. Doctors recommend that people aged 50 years and over get two doses of the Shingrix vaccine to help prevent shingles.

Can Shingrix trigger autoimmune disease?

Together, through the process of molecular mimicry and strong induction of the immune response, Shingrix may cause or exasperate autoimmune etiology.

Does autoimmune disease make you more susceptible to shingles?

Researchers at the London School of Hygiene and Tropical Medicine reported in a study published in BMJ that patients with autoimmune diseases and other chronic illnesses face an increased risk for herpes zoster, or what is commonly referred to as shingles.

Who Cannot get shingles vaccine?

Studies suggest protection against shingles with Shingrix may extend beyond five years. Talk to your doctor about your vaccination options if you: Have ever had an allergic reaction to any component of the shingles vaccine. Have a weakened immune system due to a condition or medication.

What can trigger lupus?

Lupus can be triggered by certain types of blood pressure medications, anti-seizure medications and antibiotics. People who have drug-induced lupus usually get better when they stop taking the medication. Rarely, symptoms may persist even after the drug is stopped.

Should you get a flu shot with an autoimmune disease?

According to the Centers for Disease Control, November is the best month to get a flu vaccination. Studies have shown flu vaccines are safe for most patients with autoimmune disorders, although the overall effectiveness of the vaccinations for people with these disorders may be diminished.

What happens if you get the flu with lupus?

In conclusion, we found a significant association between influenza infection and SLE flares resulting in hospitalization. Possibility of increased risk for SLE flares resulting in hospitalization within seven days after influenza infection has to be considered when treating and educating patients with SLE.

What autoimmune causes shingles?

Herpes Zoster (HZ), also known as shingles, is a viral disease caused by reactivation of latent varicella-zoster virus in cranial-nerve or dorsal-root ganglia(1).

Who is more prone to get shingles?

Shingles is most common in people older than 50. The risk increases with age. Having certain diseases. Diseases that weaken your immune system, such as HIV/AIDS and cancer, can increase your risk of shingles.

Should I get shingles vaccine at 50?

CDC recommends that adults 50 years and older get two doses of the shingles vaccine called Shingrix (recombinant zoster vaccine) to prevent shingles and the complications from the disease.

Does hydroxychloroquine help shingles?

Plaquenil, or hydroxychloroquine sulfate (HCQ) is an anti-malarial medication prescribed to patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Sjogren's syndrome, and other inflammatory and autoimmune plaquenil and shingles diseases.

How many times can a person get shingles?

The virus can reactivate later, causing shingles. Most people who develop shingles have only one episode during their lifetime. However, you can have shingles more than once.

How many times can you get shingles in your lifetime?

Shingles is a painful skin rash that affects about 1 in 3 Americans in their lifetime, primarily adults over 50. Though most people only get shingles once, there is a possibility that you can get it twice or even three times.

Is the 2nd shingles shot worse than the first?

To answer your questions in order: You are at higher risk for a similar reaction for the second shot. I would plan your day accordingly, and premedicate with Tylenol (even though it may make the vaccine slightly less effective). The second vaccine is identical to the first.

What's the side effects of the second shingle shot?

How many years does Shingrix last?

The research, published in the Journal of Infectious Diseases, shows that Shingrix offers protection for up to four years, but Professor Cunningham believes it will last much longer. "The second dose of the vaccine is important to ensure long-term protection," Professor Cunningham said.