Overview
Shingles is caused by reactivation of the chickenpox virus, usually producing pain or tingling followed by a one-sided band of blisters.
Antiviral treatment works best when started within 72 hours of the rash appearing, although later treatment may still be considered in some cases.
When to seek urgent medical help
- • A rash near the eye, on the nose or with any change in vision
- • Facial weakness, hearing changes, confusion or severe headache
- • A widespread rash, pregnancy or a weakened immune system
Symptoms and signs
- Burning, tingling or pain on one side of the body or face
- A stripe or patch of fluid-filled blisters
- Sensitive or painful skin
- Headache, tiredness or feeling generally unwell
Management and treatment
A doctor will check the rash pattern, when it began and whether urgent assessment is needed.
Keep the rash clean and covered, avoid scratching, and avoid contact with pregnant people who have not had chickenpox, newborn babies and people with weakened immunity until the blisters have crusted over.
Prescription treatment options
Aciclovir
An antiviral tablet that can shorten the illness and reduce complications when started promptly.
Valaciclovir
An antiviral tablet with a simpler dosing schedule, prescribed when clinically appropriate.
Pain relief
Suitable pain relief depends on your symptoms, medicines and medical history.
Skin care
Cool compresses, loose clothing and keeping the rash covered can reduce discomfort and transmission risk.
Any prescription is issued only after a doctor has reviewed your case and considers the treatment safe and appropriate for you.
Your online Shingles assessment
- 1
Tell us about your concern
Share symptoms, past treatments, medicines and relevant health information.
- 2
Upload clear photos
Upload photos of your concern where applicable.
- 3
Doctor reviews your case
Technology helps organise your answers, but every assessment and prescription decision is made by a doctor, who may message you if they need more information.
- 4
Get your personalised plan
A personalised prescription is issued if treatment is clinically appropriate.
Prognosis and outlook
The rash usually heals within two to four weeks. Pain can occasionally continue after the skin has healed.
Prompt assessment is especially important when the face, eye or ear is affected.
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This page is general medical information and does not replace a personal consultation. Always seek urgent care for severe or rapidly worsening symptoms. ChatDoc is not an emergency service. Call 999 (UK) or 112 (EU) for life-threatening emergencies or 111 for urgent non-emergency help. Do not wait for an online reply.