Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for new confusion, fainting, severe weakness, difficulty walking, a seizure, a very severe headache with neck stiffness, or trouble breathing.
These symptoms are uncommon but may suggest a complication requiring immediate care.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice when you first suspect shingles, especially within the first few days of the rash.
Early treatment may shorten the episode and reduce complications.
Arrange urgent, same-day assessment if:
The rash is on your forehead, eyelid, nose, or around an eye
You have eye pain, a red eye, blurred vision, or light sensitivity
Blisters or pain affect an ear, or you develop facial weakness
You are pregnant
Your immune system is weakened by a condition or treatment
The rash is widespread or affects more than one area
Pain is severe or difficult to control
The skin becomes increasingly red, swollen, warm, or produces pus
3
Does any of this apply?
Book an appointment
For routine follow-up, seek advice if the rash is not healing, symptoms are worsening, or pain continues after the blisters have cleared.
Every sign above is quoted from the sofidex article on Shingles. If you are not sure, err upward — it is always reasonable to be checked.