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What Is Shingles?
How Post-Shingles Pain May Occur
Where Post-Shingles Pain may Occur
LIDODERM® Patch
How to Apply a Patch
LIDODERM® prescribing information
Important Safety Information
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Where Post-Shingles Pain May Occur

Where post-shingles pain occurs on the bodyPost-shingles pain is localized pain that most often affects the skin over the torso, especially the chest or back, the upper arms, or one side of the face,1, 2 but it can also affect the skin in other areas, such as the shoulders, neck or legs. The image to the right shows some of the areas where post-shingles pain commonly occurs.

Post-shingles pain may last months, and often years.3 In some cases, the skin may become extremely sensitive to touch or temperature. For example, the feeling of clothing against the skin, the lightest breeze, or a slight change in temperature can cause severe pain.2

People who have experienced post-shingles pain say it can be excruciating, and feels like fire under the skin, electric shocks, or sharp, stabbing needles.4 It may include itching and numbness where shingles blisters have healed and occasionally, muscle weakness and loss of muscle tone.1

Important Safety Information

LIDODERM® is used to relieve the pain of Post-Herpetic Neuralgia, also referred to as post-shingles pain. Apply only to intact skin with no blisters.

You should not use this product if you are sensitive to local anesthetics such as lidocaine, or to any of the other ingredients in LIDODERM®.

Even a used LIDODERM® patch contains a large amount of lidocaine. A small child or pet could suffer serious adverse effects from chewing or swallowing a new or used LIDODERM® patch. Store and dispose of patches out of the reach of children, pets and others. Never reuse a patch.

LIDODERM® patches should be worn for no more than 12 hours a day. Applying the patches for a longer time or using more than 3 patches could cause serious reactions.

Avoid contact of LIDODERM® with the eye. If contact occurs, immediately wash the eye with water or saline and protect it until sensation returns.

Be sure to tell your healthcare provider if you have liver disease, are pregnant or nursing, or are taking medication for irregular heartbeat. For such people, LIDODERM® should be used with caution.

Allergic reactions, though rare, can occur.

During or immediately after using LIDODERM®, the skin around the patch may develop a change in color, colored spots, irritation, itching, flaking of the skin, rash, bruising, swelling, pimple-like raised skin, a cyst containing fluid, pain, burning, or abnormal sensation. These reactions are generally mild and go away on their own within a few minutes to hours. Other reactions may include dizziness, headache, and nausea.

Tell your healthcare provider if you experience any of these symptoms while using LIDODERM®. Only your healthcare provider can determine if LIDODERM® is right for you. Always follow your healthcare provider's instructions when using LIDODERM®.

Please see the important product information and discuss it with your healthcare provider.

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References:
1.  Yoleri O, Olmez N, Oztura I, Sengul I, Gunaydin R, Memis A. Segmental zoster paresis of the upper extremity:a case report. Arch Phys Med Rehabil. 2005;86:1492-1494.
2.  Shingles: hope through research. National Institute of Neurological Disorders and Stroke Web site. Available at: http://www.ninds.nih.gov/disorders/ shingles/detail_shingles.htm. Accessed January 31, 2006.
3.  Griffin MJ, Chambers FA, MacSullivan R. Post herpetic neuralgia: a review. Ir J Med Sci. 1998;167(2):74-78.
4.  Kost RG, Straus SE. Postherpetic neuralgia - pathogenesis, treatment, and prevention. N Engl J Med. 1996;335(1):32-42.



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