Cookies on the Bupa website

We use cookies to help us understand ease of use and relevance of content. This ensures that we can give you the best experience on our website. If you continue, we'll assume that you are happy to receive cookies for this purpose. Find out more about cookies

Continue

Shingles

Key Points

  • Shingles is caused by the varicella zoster virus. It’s the same virus that causes chickenpox.
  • After you have had chickenpox, the virus remains dormant in your body. It can be reactivated at any point in your life, causing shingles.
  • Shingles results in painful blisters. They develop on your skin in infected nerve fibres, usually forming a rash in a band or strip.
  • The pain of shingles can remain, even after the rash is gone. This is called post-herpetic neuralgia.
  • Shingles can affect anyone, but is more common in people over 50.

FAQs

    Is there a shingles vaccine?

    Yes, there is a vaccine for the varicella zoster virus. The vaccination is available in the UK for adults aged 70 years old.

    The vaccine can reduce the risk of shingles by half. It can also reduce the pain of shingles in people who still get shingles after being vaccinated.
     

     

    See all FAQs

This section contains answers to frequently asked questions about this topic. Questions have been suggested by health professionals, website feedback and requests via email.

Is shingles contagious?

Answer

Shingles can’t be passed from one person to another. However, the virus that causes shingles (varicella zoster) can be spread from someone who has shingles to a person who has never had chickenpox before. This is because chickenpox is caused by the same virus. 

Explanation

You can only catch chickenpox from a person with shingles if you haven’t had chickenpox in the past. Once you’ve had chickenpox, the varicella zoster virus stays in your body and you won’t catch it again. You can’t catch shingles from a person who has chickenpox, nor can you catch shingles from somebody who has shingles.

Shingles is less contagious than chickenpox. If you have shingles, the risk of spreading the virus is low as long as your rash is covered. This is because the virus can only spread through direct contact with fluid from the rash blisters. Therefore, hygiene is important – cover the area if possible.

If you have shingles, you’re not infectious before the blistering rash appears, nor are you infectious when your blisters have crusted over and turned into scabs.

Is there a shingles vaccine?

Answer

Yes, there is a vaccine for the varicella zoster virus. The vaccination is available in the UK for adults aged 70 years old.

Explanation

Shingles can affect anyone who has previously had chickenpox, but it’s far more common in people older than 50. In clinical trials, the vaccine reduced the risk of shingles by half. It can also reduce the pain of shingles in people who still get shingles after being vaccinated.

The Joint Committee on Vaccination and Immunisation recommended a shingles vaccination programme for people in the UK aged 70. The programme started in September 2013. The vaccine is routinely offered once you reach the age of 70 years old to help prevent shingles and PHN. A vaccination catch-up programme is also available for adults aged 79 years old on 1 September 2013 (born 2 September 1933 to 1 September 1934) for the year 2013 to 2014.

There is also a varicella zoster vaccine that can help prevent chickenpox in the UK. This will protect you from catching the virus in the first place. However, it’s only recommended for certain people, such as healthcare workers and for those in contact with someone with a weak immune system. For example, people that have a disease, such as cancer, or are receiving medicines, such as steroids or chemotherapy.

Can I go swimming if I have shingles?

Answer

No, you shouldn't go swimming if you have shingles. This puts other people at risk of becoming infected with the virus that can cause chickenpox if they haven’t had it. Your blisters could also become infected.

Explanation

The shingles virus can only spread through direct contact with fluid from the rash blisters. Going swimming increases your chance of coming into direct contact with other people and puts them at risk. Wait until your blisters have dried and crusted over before you go swimming. Don’t share towels while you have shingles.

If you have shingles, try to keep your rash as clean and dry as possible. This prevents your blisters from getting infected. Going swimming in the sea or in a swimming pool increases your chance of coming into contact with bacteria. This could infect your blistering rash and delay the healing process.

Don’t take part in any contact sports, such as rugby, while you have shingles. Wait until your blisters have dried up and turned into scabs before returning to your usual activities.

What can I do to help relieve post-herpetic neuralgia?

Answer

Depending on how severe your pain is, your GP may offer you a treatment or a medicine to help reduce any discomfort.

Explanation

The pain caused by shingles can sometimes stay after your rash has gone. This is called post-herpetic neuralgia (PHN). It’s more common as you get older. Up to half of people who are older than 50 and get shingles will have some form of PHN.

For most people with PHN, your pain will subside within a few months. However, sometimes, your pain can persist for a long time, sometimes even years.

Over-the-counter painkillers (such as paracetamol) may help relieve mild pain. If your pain is more severe, your GP may prescribe you medicines that are usually used to treat conditions of the nervous system. These include gabapentin and pregabalin, which are anticonvulsants (mainly used to treat epilepsy), and amitriptyline (mainly used to treat depression). Always ask your GP for advice and read the patient information leaflet that comes with your medicine.

Your GP may offer you a cream to apply to your skin. These creams will usually contain capsaicin, which has been shown to provide some pain relief. You can also use topical lidocaine ointment, which has a numbing effect, or a lidocaine patch.

Opioids, for example, codeine and morphine, are sometimes prescribed, although there is limited evidence to suggest that they reduce the pain caused by PHN. A direct injection of a corticosteroid into your spine may help severe pain, but this is rarely done. Corticosteroid is a type of medicine used to treat inflammation or swelling.

Talk to your GP for advice about the most suitable treatment for you.


Reviewed by Alice Rossiter, Bupa Health Information Team, November 2013.

Find out more about our health editors

To find a consultant or therapist in your area who can help you, please visit

www.finder.bupa.co.uk

For our main content on this topic, see Information.

For sources and links to further information, see Resources.

Share with others


  • This information was published by Bupa's Health Information Team and is based on reputable sources of medical evidence. It has been reviewed by appropriate medical or clinical professionals. Photos are only for illustrative purposes and do not reflect every presentation of a condition. The content is intended only for general information and does not replace the need for personal advice from a qualified health professional. For more details on how we produce our content and its sources, visit the about our health information page.

    Approved by Plain English Campaign The Information Standard memberHON Code

     

Consultant and Facilities Finder

Find Bupa recommended consultants/specialists,
hospitals, care homes and other facilities

Find out more

Bupa Health Finder

Find health information and more while on the move with our free Bupa Health Finder app.

More about the app