Shingles · Pharmacy First

Shingles is caused by reactivation of the chickenpox virus, usually as we get older or when our immune system is run down. Antiviral treatment works best if started within 72 hours of the rash appearing, so timing matters — and the pharmacy is faster than waiting for a GP slot.

Who is eligible?

The NHS Pharmacy First shingles service is for:

• Adults aged 18 years and over.
• With a rash and pain consistent with suspected shingles.
• Where the rash has appeared within the last 7 days (ideally within 72 hours).

What does shingles look like?

Shingles typically presents as:

• A burning, tingling, or stabbing pain on one side of the body or face.
• A rash of small fluid-filled blisters that follows a band-like pattern, usually on the chest, abdomen, or face.
• The rash is on one side only and does not cross the midline.
• Sometimes a mild fever or feeling generally unwell.

What we will do

The consultation is private and takes about 15 to 20 minutes.

We take a brief history of your symptoms, examine the rash, and confirm whether it is consistent with shingles. Where appropriate, we prescribe a course of antiviral medication (typically aciclovir or valaciclovir) on the spot.

If the rash is on your face or near your eye

Shingles affecting the eye area can lead to complications. If the rash is anywhere on your face — particularly near or in the eye — we will likely refer you to your GP or A&E for urgent assessment by an ophthalmologist, rather than treating in the pharmacy.

Self-care while taking antivirals

Whether antivirals are prescribed or not, the following helps:

• Paracetamol for pain (or stronger painkillers if your GP advises).
• Keep the rash clean and dry.
• Avoid contact with people who have not had chickenpox or the chickenpox vaccine, especially newborns and immunocompromised people.
• Loose clothing over the affected area.