Common Post-Herpetic Neuralgia Questions

Who is at risk for developing Shingles?

“Anyone who has had chickenpox can get shingles, although it is most common in individuals over the age of 50. It is estimated that 10 to 20 percent of all Americans—and 50 percent or more of individuals aged 85 and older—will experience shingles during their lifetime. Individuals who have conditions, or are undergoing medical treatments, that weaken their immune systems are also more likely to develop shingles. These include: HIV infection; chemotherapy or radiation therapy; corticosteroids; transplant operations and possibly stress”. – The National Shingles Foundation website:

Is there a cure for Post-Herpetic Neuralgia?

No, a cure is not available for Post-Herpetic Neuralgia (PHN).  However, we want to help you manage your pain symptoms so that you can go about your daily routine and participate in daily activities with as much comfort and as little interruption as possible.

My doctor prescribed your medication cream for Post-Herpetic Neuralgia pain treatment. Can I use this medication cream it for other painful areas?

We want to encourage you to first speak with your prescriber about using the pain medication cream for additional painful areas.  Continue to use your specially compounded medication for the original pain complaint for which it was prescribed, and please call your doctor’s office to ask about applying it to more than the original area.  We also recommend that the pain cream not be applied to more than 10% of your body surface area (BSA) unless specifically instructed by your physician.  If you need the phone number to your doctor’s office, you can find it here:  (link to sign in)

I have your Transdermal Therapeutics cream medication for Post-Herpetic Neuralgia pain treatment.  Where should I apply the pain cream?

Your specially compounded pain cream should be applied to the painful area that was affected by Post-Herpetic Neuralgia, Shingles, which prompted your visit to the doctor's office (or nurse practitioner, PA, or other prescriber). Please make sure to apply the cream to intact skin (no breaks or incisions) to ensure that you deliver the correct dose of medicine.

How do I get a prescription for a Transdermal Therapeutics cream?  

Because this is prescribed topical medication, it requires a prescription from your doctor, nurse practitioner, physician assistant, or other medical provider.  After your office visit, the prescription will be faxed here to us, and we will contact you for the information we need to provide your pain medication as quickly as possible.