I had shingles in July of this year, and taking Methotrexate and Hydroxy for RA. i went to GP last week and have shingles yet again, the GP did not give me any antiviral tablets,but did last time. I dont understand how I have got shingles yet again in such a short space of time. I am suffering with such sharp pains in my head which is so painful. I am taking Tramadol at night but I cant function in the day if I take the Tramadol as it makes me sleepy and confused. Any comments to what else may help as I cant take cocodamol.