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Shingles pain worse at night

39 replies

PerkyOchrePeer · 20/01/2026 21:18

I thought my shingles pain was easing because I woke up at 8am with hardly any pain. I work from home and hardly had any pain all day. Today was the first time since having shingles a few days ago that I have not had to take any painkillers.

I finish work at around 5pm then at around 7pm I go and lie down because I feel quite tired. I wake up an hour later and the stinging head has come back more abd I have a headacgeso I take painkillers. I was disappointed that the pain gad returned. Can anyone explain why this happened.

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BeautifulSongsofLove · 22/01/2026 11:31

PerkyOchrePeer · 20/01/2026 22:12

I am not a doctor so I wouldn't know if my rash is tracking a nerve

Shingles is a viral infection of a nerve root

There's good information here that may be helpful https://patient.info/skin-conditions/shingles-herpes-zoster-leaflet

Shingles

Shingles is a painful rash caused by an infection of a nerve under the skin with the varicella-zoster virus. Written by a GP.

https://patient.info/skin-conditions/shingles-herpes-zoster-leaflet

Lillyprint55 · 21/01/2026 18:35

I had shingles years ago, on the inside of my leg from my groin down to my ankle. I can honestly say, i have never known pain like it. Doctor prescribed a mild tranquiliser as shiingles affects the nerve endings. Would not wish it on anyone.

PerkyOchrePeer · 21/01/2026 17:40

My closest friend hasn't bothered to ask how I am and when I told her I thought she could enquire she said she had been busy. It takes 2 seconds to write a message and say how are you. She said I had no right to insist that she ask. She said if she sends someone a message she doesn't expect an instant response. But I think it's different when someone is not well. I had a friend offer to go shopping for me and he has no car. My closest friend has a car and has not offered anything

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PerkyOchrePeer · 21/01/2026 17:32

NiceCupOfChai · 21/01/2026 08:23

Only in so much as you might want to rest with any virus. Trying to work full time with shingles is likely to cause significant fatigue. Having a nice walk at your own pace is likely to be helpful, so if your dad is not feeling overly fatigued don’t stop him walking!

I feel depressed today. I've been taking anti virals since Sunday and I was given a weeks supply. I still feel rough and dont think they are working. My head still stings and the side of my face feels like it's being pulled from the temple where I haad my swollen eye. I am supposed to be going on holiday in Marsh but am seriously thinking of cancelling because even if I am no longer contagious, I feel rubbish and wouldn't enjoy the holiday feeling g like this. Im seeing the GP on Friday to get assessed again and I will say I dont think the anti virals have done me any good and ask what she can suggest

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NiceCupOfChai · 21/01/2026 08:23

cupfinalchaos · 21/01/2026 08:07

Do you have to rest with shingles? My 94yo dad has it and still walks every day. He has anti virals

Only in so much as you might want to rest with any virus. Trying to work full time with shingles is likely to cause significant fatigue. Having a nice walk at your own pace is likely to be helpful, so if your dad is not feeling overly fatigued don’t stop him walking!

SomewhatAnnoyed · 21/01/2026 08:15

PerkyOchrePeer · 21/01/2026 02:54

How did you cure your shingles without anti virals

I didn’t, I had to ride it out. It was weird how text book it was from appearing to going. It lasted 3 or 4 weeks but was still painful after that for a while. Luckily there was no nerve damage and pain stopped altogether after a month or two if I remember rightly.

If I hadn’t been breastfeeding a young baby I would have definitely had antivirals. I was told they wouldn’t cure it, as in make it go away once it had started, but would stop its progression and it from getting any worse.

cupfinalchaos · 21/01/2026 08:07

Do you have to rest with shingles? My 94yo dad has it and still walks every day. He has anti virals

PerkyOchrePeer · 21/01/2026 07:44

Well ive just woken up. I took my over counter painkillers anadin extra last night at around midnight. The work well and im not really in pain this morning. I will work at hone and I dont think I will need to take any more until tonight. Its easy to think the pain has gone completely which isn't true. Its just that it only comes on at night so I am by no means s fully recovered.

I have written down a list of things to speak to my GP about in friday

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anotheruser76326 · 21/01/2026 07:40

when I had it, I was in my 20s, and so ill I was off for 2 weeks, and fell asleep on the sofa in the middle of the day. I could barely move. I have never done that at any other time in my life, even post partum. It’s really nasty, you need a LOT of rest.

LegoEmergency · 21/01/2026 07:17

PerkyOchrePeer · 20/01/2026 22:59

The painkillers I use are over the counter annoying extra and they ease the pain well
How long did you need your pain meds for? I know when my sciatica was bad I had cocodamol for about 18 months and then I didn't need them anymore be ayse my sciatica got better

I think the first time I had shingles I took the amitriptyline for nearly a month.

I’ve had shingles a few times subsequently and the next time I used a few left over tablets I had from the first time. It was only a small dose and only one tablet every night.

The last time I had it the pain was not quite so bad and I took normal painkillers, but the pain did go on for a few weeks.

I occasionally get random stabs of pain back at times when I don’t have a rash as well.

dementedpixie · 21/01/2026 07:00

PerkyOchrePeer · 21/01/2026 02:59

I know what causes shingles. I know some people who have had chickenpox but not had shingles. A lady i know aged 86 had chickenpox when she was 10. She has never had shingles

You can only develop shingles if you've had chickenpox in the past as its a reactivation of the CP virus. Not everyone who has had chickenpox will develop shingles.

Ive had chickenpox but never had shingles. My son had chickenpox at 6 months and shingles at 3 years old.

PerkyOchrePeer · 21/01/2026 02:59

saltinesandcoffeecups · 21/01/2026 02:02

That’s not how this works. You only get shingles if you’ve had the chickenpox. So if you have the shingles now you’ve had the chickenpox.

if you haven’t had the chickenpox then you get the get the chickenpox.

Either way,,, I do think there is something true about pain being worse at night scientifically speaking.

I know what causes shingles. I know some people who have had chickenpox but not had shingles. A lady i know aged 86 had chickenpox when she was 10. She has never had shingles

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PerkyOchrePeer · 21/01/2026 02:54

SomewhatAnnoyed · 21/01/2026 02:40

I got shingles a few months after having my daughter. I thought it was something older people got, then I read up and apparently it’s not uncommon for new mums to get it due to stress and what your body’s been through for 9+ months. I couldn’t take anti-virals bc I was breastfeeding (my choice) but my god, the pain! You’re right it’s worse at night. Mine affected my whole arm and it felt like it was on fire while being electrocuted, no one has an any idea what nerve pain is like until they have it. Get anti-virals asap is my advice and regular pain relief round the clock til it subsides. Hope you feel better soon!

How did you cure your shingles without anti virals

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SomewhatAnnoyed · 21/01/2026 02:40

I got shingles a few months after having my daughter. I thought it was something older people got, then I read up and apparently it’s not uncommon for new mums to get it due to stress and what your body’s been through for 9+ months. I couldn’t take anti-virals bc I was breastfeeding (my choice) but my god, the pain! You’re right it’s worse at night. Mine affected my whole arm and it felt like it was on fire while being electrocuted, no one has an any idea what nerve pain is like until they have it. Get anti-virals asap is my advice and regular pain relief round the clock til it subsides. Hope you feel better soon!

saltinesandcoffeecups · 21/01/2026 02:02

PerkyOchrePeer · 21/01/2026 01:36

I think it suits that the people that have the shingles jab are people age 70. I never had chickenpox as a child. I was 31 and I think people who have never had chickenpox as a child but as an adult should be eligible. Plenty of younger people get shingles and this government should allow people to get the jab earlier. I

That’s not how this works. You only get shingles if you’ve had the chickenpox. So if you have the shingles now you’ve had the chickenpox.

if you haven’t had the chickenpox then you get the get the chickenpox.

Either way,,, I do think there is something true about pain being worse at night scientifically speaking.

PerkyOchrePeer · 21/01/2026 01:36

I think it suits that the people that have the shingles jab are people age 70. I never had chickenpox as a child. I was 31 and I think people who have never had chickenpox as a child but as an adult should be eligible. Plenty of younger people get shingles and this government should allow people to get the jab earlier. I

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PerkyOchrePeer · 20/01/2026 23:47

My rash us in my forehead and no doctor would permit me to go to work ir anywhere else unless the blisters were crushed over and someone on here advised taking lots of rest so I dont think travelling to and from the office would be OK as I would be travelling in rush hour

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PerkyOchrePeer · 20/01/2026 23:41

dementedpixie · 20/01/2026 23:15

@PerkyOchrePeer if the rash can be covered and you feel ok then you can go to work as shingles can only transmit chickenpox with direct contact with fluid from the shingles blisters

Ok

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dementedpixie · 20/01/2026 23:15

@PerkyOchrePeer if the rash can be covered and you feel ok then you can go to work as shingles can only transmit chickenpox with direct contact with fluid from the shingles blisters

PerkyOchrePeer · 20/01/2026 23:06

I've actually got a concert ticket booked for next week. I will still go. Just travel to the venue and watch the concert and travel home. Not a strenuous activity lol

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PerkyOchrePeer · 20/01/2026 22:59

LegoEmergency · 20/01/2026 22:40

I’ve been prescribed amitriptyline for nerve pain caused by shingles before and it worked really well. It literally just shut off the pain where I had been taking more that the max dose of paracetamol and Nurofen with no improvement.

The shingles I get is on one side of my head. I do get pain at night but surprisingly I find that sleeping with that side of my head pressed into the pillow much reduces the pain. (Whereas the wind blowing my hair really can hurt!)

I hope you feel better soon.

The painkillers I use are over the counter annoying extra and they ease the pain well
How long did you need your pain meds for? I know when my sciatica was bad I had cocodamol for about 18 months and then I didn't need them anymore be ayse my sciatica got better

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LegoEmergency · 20/01/2026 22:40

I’ve been prescribed amitriptyline for nerve pain caused by shingles before and it worked really well. It literally just shut off the pain where I had been taking more that the max dose of paracetamol and Nurofen with no improvement.

The shingles I get is on one side of my head. I do get pain at night but surprisingly I find that sleeping with that side of my head pressed into the pillow much reduces the pain. (Whereas the wind blowing my hair really can hurt!)

I hope you feel better soon.

PerkyOchrePeer · 20/01/2026 22:32

Chickoletta · 20/01/2026 22:05

This is very normal with shingles - I’ve had two bouts in the past year. You must rest and be gentle with yourself - the pain may well ease and come back. The primary reason why it hurts more at night is to do with blood pressure.
Paracetamol doesn’t touch nerve pain. If you feel like you need more pain relief your GP should prescribe Gabapentin. This works specifically on nerve pain and is very effective.
I suspect that the reason I had a recurrence was that I tried to struggle on the first time and didn’t rest properly - don’t be like me!! If I got another dose of it I would accept however long the GP wanted to sign me off for.
Be kind to yourself!

Thanks. Gavapebtin sounds extreme. I have a holiday booked for March to australia. I hope i can still go i tried to book my holiday insurance but the company wouldn't give me a quote because they said I need the all clear to travel first. When I was diagnosed on Saturday I said can I go on holiday in march and the doctor said yes your symptoms are mild.

I have questions to ask the GP. As for rest I think I need it confirmed ny the Gp so that I can tell work because as far as they are concerned, I am working fro home because I am infectious and im seeing the doctor to find out uf I am no longer infectious and then i will be declared ok to be around people therefore I can go into the office

By the way my head has stopped itching

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Forthwith81 · 20/01/2026 22:22

Sending sympathy. I had shingles last summer and the pain was definitely worse at night. Apparently it is a common problem. Although it has been 6 months since I was diagnosed, I still have some residual pain at times. It's a bastard of an illness. Take care of yourself.

tarheelbaby · 20/01/2026 22:17

Sorry to hear you're coping with shingles. Years ago, a relative in her 80s told me that, 'I thought I was tough; I had gave birth twice; but shingles is excruciating.' All the stoic people I know who've had shingles have said how miserable it is. And it is definitely linked to tiredness and stress.
DH took gabapentin, which is also used for depression. He said it didn't make things hurt less, it just made him care less that he was hurting ...
Most people with a painful condition (or indeed any illness) of any kind will tell you that evening is the toughest time. Your body has worked hard all day, the time for meds is far off and your body is tired because fighting/ignoring pain is tiring. Most people delay their evening meds until bedtime to help them sleep through.