Shingles

Shingles is caused by the same virus as chickenpox, reactivating years later. It causes a painful rash, usually on one side of the body. Treated early, antiviral medicine can shorten it and reduce the chance of lasting nerve pain — which is why it is worth acting within the first few days rather than waiting.

Under NHS Pharmacy First, our pharmacist can assess shingles and supply antiviral treatment where appropriate, without you seeing a GP. The consultation is free, and there is no prescription charge unless you normally pay for prescriptions and one is issued.

Who we can treat

Adults aged 18 and over with symptoms of shingles.

The first signs are often a tingling, burning or painful patch of skin, sometimes with a headache or feeling generally unwell. A rash follows a few days later — blotches that turn into fluid-filled blisters, on one side of the body only. A rash on both sides is unlikely to be shingles.

When we will send you elsewhere

• Under 18s.
• A rash on or near the eye, or on the tip of the nose — shingles here can threaten sight and needs a doctor the same day.
• A rash on the ear, or with weakness in the face.
• Widespread rash, or rash on both sides of the body.
• Anyone who is pregnant, or has a weakened immune system.
• Severe pain, or feeling very unwell with it.

How the appointment works

We are an NHS distance selling pharmacy, so this consultation is by phone. Book a time and a pharmacist will call you. Shingles has to be seen to be assessed properly, so you will be asked to send clear photographs of the rash — good light and a close, focused picture make a real difference.

Timing matters. Antiviral treatment works best when started within 72 hours of the rash appearing, so please do not wait to see whether it improves on its own. Anything supplied is dispensed and delivered to your door free of charge.

Treatment

Where it is appropriate, the pharmacist can supply a course of antiviral tablets, usually for a week. Pain relief helps with the discomfort, and keeping the rash clean and loosely covered reduces the chance of it becoming infected.

Shingles cannot be passed from person to person — but the blisters can pass chickenpox to someone who has never had it. Until they have dried and crusted, avoid contact with pregnant women, newborn babies and anyone with a weakened immune system.

When to get help sooner

Contact your GP or NHS 111 straight away if the rash is near your eye or on your face, if the pain is severe, if you develop a high temperature, or if you feel confused or drowsy. In an emergency, call 999.