What are the CDC recommendations for the prevention of herpes zoster (shingles)?

Updated: Feb 11, 2021
  • Author: Camila K Janniger, MD; Chief Editor: Dirk M Elston, MD  more...
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Additional 2008 recommendations include the following [128] :

  • The zoster vaccine may be given simultaneously with other vaccines recommended for people 60 years or older, such as the Td, Tdap, and pneumococcal polysaccharide vaccines.

  • Zoster vaccination is not recommended for persons of any age who have received varicella vaccine.

  • Patients with a history of herpes zoster can be vaccinated.

  • For patients initiating immunosuppressant treatments, the zoster vaccine should be given at least 14 days before the initiation of immunosuppressive therapy

  • Acyclovir, famciclovir, or valacyclovir should be discontinued at least 24 hours before administration of the zoster vaccine, if possible. These medications should not be used for at least 14 days after vaccination, by which time the immunologic effect should be established.

  • The zoster vaccine is contraindicated for persons who have a history of an anaphylactic reaction to any component of the vaccine, including gelatin and neomycin.

  • The zoster vaccine should not be administered to persons with primary or acquired immunodeficiency.

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