Pharmacy First: Shingles

Kieran Reynolds talks to Dr Stephanie Gallard and Liz Kramer about some of the clinical issues you may encounter when providing the shingles service under Pharmacy First. Discussion includes the link between chickenpox and shingles, typical presentation of shingles, dermatomal distribution of shingles and how to respond to requests for video consultations. (20m 23s) Dr Stephanie Gallard – GP with special interest in dermatology, PCDS Executive committee member Kieran Reynolds – Advanced Specialist Pharmacist (Medicines Governance), SPS Liz Kramer – Community Pharmacist Useful links: Post exposure prophylaxis for chickenpox and shingles - GOV.UK (www.gov.uk) Images of shingles: NHS shingles resources https://www.nhs.uk/conditions/shingles/ DermNet shingles resources https://dermnetnz.org/topics/herpes-zoster Primary Care Dermatology Society shingles resources https://www.pcds.org.uk/clinical-guidance/herpes-zoster Black & Brown skin resources (including images on diverse skin tones) https://www.blackandbrownskin.co.uk/campaigns DermNet dermatomes https://dermnetnz.org/topics/dermatomes Shingles immunisation programme: information for healthcare practitioners https://www.gov.uk/government/publications/shingles-vaccination-guidance-for-healthcare-professionals/shingles-immunisation-programme-information-for-healthcare-practitioners