Ramsay Hunt Syndrome and the Pharmacist

Ramsay Hunt syndrome (RHS) begins with an attack of herpes zoster (i.e., shingles) inside the ear canal. RHS primarily affects the facial nerve, but it can also affect cranial nerves that communicate with the facial nerve. Damage to cranial nerves causes otic pain, otic rash, hemifacial paralysis, and several other complications. Prompt administration of antiviral therapy can improve the prognosis, lessening the risk of permanent sequelae, such as facial distortion. Being aware of RHS enables the pharmacist to recognize its possible presence. The pharmacist can then explain the nature of the condition to the patient and stress the vital need for immediate physician care. The pharmacist can also assist the patient with relieving pain and other troublesome symptoms that often accompany RHS.