Immunize Against Shingles With the New Vaccine, Shingrix

December 2017

Please see the January 2018 CDC recommendations for the use of herpes zoster vaccines.

The new zoster vaccine, Shingrix (SHING-riks), will be preferred over Zostavax...because Shingrix seems more effective.

Patients will hear that Shingrix is about 97% effective for preventing shingles...compared to about 51% with Zostavax.

This works out to preventing one case of shingles over 3 years for every 37 patients getting Shingrix...versus 59 patients with Zostavax.

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Table of Contents

Vaccines Immunize Against Shingles With the New Vaccine, Shingrix
Cardiology Look for Heart Failure Patients Who May Need an Aldosterone Antagonist
Insulin Fiasp (Insulin Aspart) Will Be Another Mealtime Insulin Alternative
COPD Don't Recommend Spiriva First-Line for Mild COPD
Constipation Emphasize an Effective Bowel Regimen for Opioid-Induced Constipation
Supplements Tell Diabetes Patients Not to Rely on Cinnamon
NSAIDs Recommend a Chronic NSAID Based on Safety
Acne Discourage Using Oral Antibiotics Long-Term for Acne
Gastroenterology Explain When to Hold Meds Before Colonoscopy
Infectious Diseases Antibiotics Are Rarely Needed for Acute Infectious Diarrhea
Practice Ensure Your Patients Get In-Date Meds