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Shingles antiviral renal dosing — GPhC CRA MCQ

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HardInfectionsShingles antiviral renal dosingGPhC CRA

A 69-year-old man presents 36 hours after a painful vesicular rash appeared in a left thoracic dermatomal distribution. He has CKD stage 3 and takes ramipril. What is the most appropriate alternative?

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Correct answer: B — Refer promptly for antiviral treatment with dose consideration for renal function.

Shingles benefits from prompt antiviral treatment in older adults and those at higher risk of complications, ideally within 72 hours of rash onset. Renal function matters for antiviral dosing. A dermatomal painful vesicular rash is not best managed with topical steroid alone.

Reference: NICE CKS; BNF