Posted 8/26/2020 11:23 AM (GMT -6)
I found this...albeit for Psoriasis patients on Stelara.
What are the recommendations in terms of management of HZ in patients with psoriasis receiving biologicals?
All the studies demonstrated that all the patients experiencing HZ responded positively to antiviral treatment, even the more severe cases. Resistant VZV strains were never encountered.
The treatment recommendations for HZ are not different from those for immunocompetent patients.49 Oral antiviral medication (acyclovir [ACV] 800 mg, five times per day for 7 days; valaciclovir 2×500 mg, three times per day for 7 days; famciclovir 500 mg, three times per day for 7 days; or brivudin 125 mg/d for 7 days) is recommended for the subgroups of patients listed in Table 1. Intravenous administration of ACV (10 mg/kg/8 h for 7 days at least) is suggested for patients with complicated HZ or who are at a high risk of complicated HZ (Table 2).49 Antiviral treatment should be initiated as soon as possible (<72 hours after the appearance of skin lesions). For ACV, famciclovir, and valaciclovir, the renal function should be tested before administration and dosages should be reduced in the case of renal insufficiency. The association of fluorouracil and brivudin should absolutely be avoided.
Table 1 Indications of oral antiviral medication
Abbreviations: HZ, herpes zoster; ZAP, zoster-associated pain.
No specific diagnostic techniques to prove the diagnosis of HZ are indicated for common HZ of the trunk.53 In contrast, HZ of the orofacial and anogenital area should be differentiated from zosteriform herpes simplex virus infections.53
Table 2 Indications of intravenous administration of ACV as suggested for patients with complicated HZ or who are at a high risk of complicated HZ
Abbreviations: ACV, acyclovir; HZ, herpes zoster.
Although it is not possible to predict the severity of HZ in a given patient, the presence of satellite lesions at the beginning of the HZ eruption and the presence of a very painful prodrome are helpful clinical indicators for an increased risk of severe HZ.
I'll text you the link.