Varicella zoster/chicken pox - Herpes zoster / shingles

CKS - Varicella zoster/chicken pox

 

CKS - Herpes zoster / shingles

Pregnant/immunocompromised/neonate: seek urgent specialist advice.

Chicken pox: If onset of rash <24hrs & >14 years or severe pain or dense/oral rash or secondary household case or steroids or smoker, consider aciclovir.

Shingles: treat if >50 years and within 72 hrs of rash (Post Herpetic Neuralgia rare if ​<50 years); or if active ophthalmic or Ramsey Hunt or eczema.

If indicated: aciclovir

800mg five times a day

7 days

Second line for shingles if compliance a problem

valaciclovir

1g three times daily

7 days