Shingles: Why the First 72 Hours Matter

Act early

Shingles is a reactivation of the chickenpox virus, which stays dormant in the body after childhood infection. It usually appears as a painful rash on one side of the body, often in a band, and frequently the pain starts before the rash is visible.

Antiviral treatment is most effective when started within 72 hours of the rash appearing. That is the single most important thing to know about shingles — waiting for a GP appointment next week may take you past the window where treatment helps most.

The pharmacist can assess and treat it

Under Pharmacy First, a pharmacist can assess shingles in adults and supply antiviral treatment where appropriate. You do not need a GP appointment and the consultation is free.

Bring details of any other medicines you take, as antivirals interact with some of them and the dose depends on kidney function.

Who needs a GP instead

Shingles affecting the eye area, anyone with a weakened immune system, pregnancy, and cases in young children are referred rather than treated at the pharmacy. If the rash is anywhere near your eye, treat that as urgent.

Managing the pain

Shingles pain can be considerable and ordinary painkillers do not always touch it. Keep the rash clean and dry, avoid sticky dressings, and speak to the pharmacist if pain relief is not working — there are better options and it is worth asking.