Shingles
A painful, blistering rash on one side of the body. Antivirals help most if started early.
In short
Shingles is a painful one-sided blistering rash caused by the chickenpox virus reactivating. Antiviral treatment helps most when started within 72 hours, so prompt assessment matters, especially if the eye is involved.
Overview
What is shingles?
Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox, reactivating years later. It produces a painful, blistering rash in a band on one side of the body or face. It's more common and more severe with age. Early antiviral treatment reduces severity and the risk of lasting nerve pain.
Symptoms
Common symptoms
- Pain, tingling, or burning in one area, often before the rash
- A rash on one side of the body or face, in a band
- Fluid-filled blisters that crust over
- Sensitivity of the skin in the affected area
- Sometimes a headache or feeling unwell
When to act
When to see a doctor
Book promptly, ideally within 72 hours of the rash, so antivirals can be started. Seek urgent help for shingles affecting the eye or forehead, severe headache or confusion, or in anyone immunosuppressed.
When to seek urgent help
Seek urgent help if
- Shingles affecting the eye, forehead, or tip of the nose (possible eye involvement, seek urgent care)
- Shingles with severe headache, stiff neck, confusion, or weakness
- A widespread rash, or shingles in someone with a weakened immune system
- Severe pain not controlled by usual painkillers
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Prompt diagnosis from the typical one-sided rash
- Prescription of antiviral tablets, most effective within 72 hours of the rash
- Pain relief advice, including for nerve pain
- Guidance on keeping the rash clean and reducing spread risk
- Advice on who is most at risk of complications
- Referral or urgent care guidance for eye or complicated shingles
What we don't do
- Urgent treatment of eye (ophthalmic) shingles (needs urgent eye care)
- Hospital treatment of severe or disseminated shingles (referred on)
Pricing
What it costs
An online consultation about shingles starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about shingles
How soon should I be treated?
Is shingles contagious?
What is post-herpetic neuralgia?
Can I get it more than once?
Ready to talk to a GP about shingles?
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