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Shingles antiviral timing — GPhC CRA MCQ

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ModerateInfectionsShingles antiviral timingGPhC CRA

A 72-year-old woman presents with a painful unilateral vesicular rash on her right chest that started 48 hours ago. She is not immunosuppressed and has no eye involvement. She asks whether she should see a GP or use calamine lotion alone. What is the most appropriate action?

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Correct answer: DRefer for antiviral assessment because treatment may still be beneficial

Older adults with shingles should be assessed for antiviral treatment, especially within 72 hours of rash onset. Antivirals can reduce acute symptoms and complications when started promptly. Eye involvement or immunosuppression would increase urgency further. Calamine alone would miss an opportunity for effective treatment.

Reference: NICE CKS Shingles; BNF