Common issues

Shingles on the skin

Shingles is caused by the same virus as chickenpox, which remains dormant in the nerves after a chickenpox infection and can flare up later in life.

It appears as a painful blistering rash, usually in a band on one side of the body or on the face. Treatment is most effective if started early after the rash appears.

When is the service not suitable?

  • First-time diagnosis — the initial diagnosis requires a doctor’s assessment with an examination.
  • Rash near the eye or on the face.
  • Severe pain that does not respond to pain medication.

General advice

Shingles is a painful skin rash caused by reactivation of the chickenpox virus (Varicella zoster).

Main points

The rash usually follows a specific area on one side of the body.
It is contagious while the blisters are open.
It is important to keep the rash clean and dry.
Seek medical care if the rash appears near the eye or on the face.

Symptoms

At first, there may be burning, itching, or pain in the skin before the rash and blisters appear. The skin becomes very sensitive to touch. Fever and headache can also be warning signs before the rash appears.

Day 1-3 — Redness and blisters

Redness develops and fills with fluid. The blisters cause pain and itching.

Day 7-10 — Sores heal

The blisters open, the fluid drains out, and scabs begin to form.

Week 3-4 — Recovery

The rash usually clears during this time.

Good advice

  • Wash your hands with soap if you touch the rash.
  • Keep the rash clean and dry to prevent infection.
  • Use cold compresses to relieve symptoms.

Things to avoid

  • Avoid close contact with pregnant women and infants while the sores have not healed.
  • Avoid contact with people with weakened immune systems (e.g. undergoing cancer treatment).

Guidance on pain relief

Paracetamol (500 mg) — 1-2 tablets at a time, 4 times a day
Ibuprofen (400 mg) — 1 tablet at a time, 3 times a day

Please note: Do not use Ibuprofen if you have heart failure, kidney failure, stomach ulcers, or have had gastric sleeve or gastric bypass surgery.

When should you seek help?

Emergency

If the rash appears near the eye or on the face (the eye becomes red, dry, light-sensitive, or vision changes).

Contact primary care

If the sores appear infected (increased pus, fever, or increasing redness).

If the pain is unbearable despite pain medication.

Glossary

Varicella zoster

The virus that causes both chickenpox and shingles.

Dermatome

A specific area of skin supplied by a nerve, where the rash appears.

The advice above is general and does not replace medical advice. Seek medical attention if symptoms worsen or do not go away.

Please note

Fjarlækningar handles simple, clearly defined issues. Some cases require an examination, testing, or emergency care — and are directed to another care pathway. In emergencies, call 112.

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