Pharmacy - Shingles

PATIENT DETAILS:
Name: Ms. Parker
Phone number: 
Personal Health Number (PHN): 

GENERAL:
PharmaNet has been checked. 

Objective:
REASON FOR VISIT:
Shingles

PATIENT ASSESSMENT:
Ms. Parker reports persistent fatigue for approximately three months, accompanied by weight gain, irregular menstrual cycles, morning joint stiffness, hair thinning, constipation, and cold intolerance. There is a family history of autoimmune thyroid disease (mother with Hashimoto’s thyroiditis). Laboratory investigations reveal elevated thyroid stimulating hormone at 7.8, low-normal free thyroxine, and positive anti-thyroid peroxidase antibodies. Mild vitamin D deficiency is also noted. No physical examination findings or dermatological lesions are described in the encounter.

Subjective:
PAST MEDICAL HISTORY:
Family history of Hashimoto’s thyroiditis (mother). No other significant past medical history provided.

CURRENT MEDICATIONS:
No current medications reported prior to this visit. Levothyroxine 50 micrograms daily and vitamin D 2000 IU daily are prescribed at this encounter.

ALLERGIES:
No allergies reported.

Assessment:
DIAGNOSIS:
Herpes Zoster (Shingles) without complications

Plan:
RECOMMENDATIONS:
- Ms. Parker is advised to avoid contact with susceptible people who are pregnant, infants, children, and individuals with weakened immunity.
- She should wash her hands frequently and keep the rash covered at all times to avoid the possibility of accidentally spreading the virus to individuals who have not previously been exposed. Lesions are infectious until crusted over.
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- Ms. Parker has been advised of the importance of early initiation of treatment (within 72 hours, but ideally <48 hours) of onset of symptoms.
- Ms. Parker has been informed that they can fill their prescription at any pharmacy of their choosing.

MONITORING/FOLLOW UP:
- Ms. Parker is advised to contact their primary care provider if their pain worsens and is not controlled by OTC medications, or they get pain that persists for an extended period.
- She should return for a follow up appointment if there is no improvement within 7 days of treatment.
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Date:
2026-02-10

PHARMACY INFORMATION:
Pharmacy name: 
Pharmacy phone number: 
Pharmacy address: 
Pharmacist name: 
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