What to do if…
you develop a new painful blistering rash in a band on one side of your body
Short answer
Treat this as possible shingles and get same-day clinical advice (GP, NHS 111, or a pharmacist who can direct you). Early assessment can matter.
Do not do these things
- Do not wait a few days to “see if it fades” if it’s painful, blistering, and one-sided.
- Do not put steroid cream, antibiotic ointment, or strong antiseptics on it unless a clinician tells you to.
- Do not scratch or pop blisters.
- Do not let other people touch the rash. Avoid skin-to-skin contact between the rash and people who may be vulnerable (pregnant people who haven’t had chickenpox, newborns, or anyone with a weakened immune system).
- Do not take ibuprofen/other anti-inflammatories if they’re not normally safe for you (for example: stomach ulcer history, kidney disease, certain blood thinners, some asthma, or pregnancy). If unsure, use paracetamol and ask a clinician/pharmacist.
What to do now
- Get same-day advice and say “possible shingles.”
Contact your GP or NHS 111. You can also speak to a pharmacist for immediate advice; in some areas/services they may be able to assess and provide treatment, or they can direct you to the right NHS service. Say: “New painful blistering rash in a band on one side of my body. Started [time/date].” - Go urgently if it’s on/near your eye or face.
If you have blisters on the forehead, eyelid, around the eye, or nose, or you have red/painful eye, light sensitivity, blurred vision, seek urgent assessment via NHS 111 (or A&E if you cannot access urgent care promptly). - Take clear photos and note the timeline.
Take a photo now (and one showing where it is on your body). Write down when pain/tingling started and when the rash appeared. This helps if you’re assessed remotely. - Cover it and reduce spread risk.
Keep the rash clean, dry, and lightly covered with loose clothing or a non-stick dressing. Wash hands after contact. Don’t share towels. The main spread risk is from blister fluid before the blisters dry/crust. - Use simple comfort and pain relief that’s safe for you.
- Paracetamol can help (follow the label; avoid doubling with combination products).
- Ibuprofen may help some people if it’s normally safe for you—ask a pharmacist/clinician if you’re unsure.
- Cool compresses and loose clothing can reduce discomfort.
- If you are higher-risk, say so immediately.
Tell the clinician urgently if you are pregnant, immunocompromised (e.g., chemo, transplant meds, high-dose steroids/biologics), have a widespread rash, or feel significantly unwell.
What can wait
- You do not need to decide today whether it’s “definitely shingles” before seeking help—describe the pattern and timing.
- You do not need to deep-clean your home—focus on covering the rash and avoiding direct contact with blister fluid.
- You do not need to make work/school decisions until you’ve had advice (it often depends on whether the rash can be covered and who you work with).
Important reassurance
This pattern (painful, one-sided, band-like blisters) is a well-recognised presentation of shingles. It’s understandable to feel alarmed; getting same-day advice is a practical way to reduce complications—especially if it’s near the eye.
Scope note
This is first-steps-only guidance for the next few hours. Ongoing care (antivirals, pain options, follow-up, and return-to-work advice) should come from NHS services.
Important note
This guide can’t diagnose you. A new painful blistering rash—especially one-sided or near the eye—needs prompt clinical assessment. If you become rapidly worse, develop confusion, severe headache with feeling very unwell, or any vision symptoms, seek urgent care.
Additional Resources
- https://www.nhs.uk/conditions/shingles/
- https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/shingles/
- https://www.gov.uk/government/publications/shingles-vaccination-for-adults-aged-70-or-79-years-of-age-a5-leaflet/vaccination-against-shingles-guide-from-september-2023
- https://cks.nice.org.uk/topics/shingles/management/management/
- https://www.chelwest.nhs.uk/your-visit/patient-leaflets/links/shingles-information-sheet.pdf