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Shingles antiviral treatment — GPhC CRA MCQ

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ModerateInfectionsShingles antiviral treatmentGPhC CRA

A 77-year-old man presents within 48 hours of a painful vesicular rash in a dermatomal band on his chest. He has CKD stage 3, takes ramipril and has no eye involvement. What is the most appropriate alternative?

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Correct answer: D — Refer or manage under local pathway for antiviral treatment with renal-dose consideration

Older adults presenting early with shingles may benefit from antiviral treatment, especially within 72 hours. Renal function affects antiviral dosing, so this must be considered. Eye involvement, immunosuppression or severe disease would increase urgency. Vaccination is preventive and is not used to treat an acute episode.

Reference: NICE CKS; BNF