If shingles is scabbed over and painful, you can continue to take acyclovir for antiviral treatment if shingles is not yet cured, but if it is already cured, you can use pain medication to treat it. Herpes zoster scabs are still painful, partly because of herpes zoster surface scabs, but the internal is not completely healed, the follow-up examination there are still symptoms of herpes zoster lesions, at this time you can continue to take acyclovir, and at the same time if the pain is intolerable, you can combine the use of pain medication such as non-steroidal anti-inflammatory drugs such as aspirin. If shingles scabbed over pain review found that the shingles lesions have healed, at this time you can no longer use acyclovir, if the pain is intolerable, you can also use non-steroidal anti-inflammatory drugs such as aspirin, ibuprofen and other drugs. If shingles scabs over the pain, you can seek medical attention to check whether shingles is cured, and use the relevant drugs under the guidance of the doctor.