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Ramsay Hunt syndrome (shingles of the ear)

Also called: Ramsay Hunt syndrome, shingles of the ear

Shingles near the ear causing a painful blistering rash in or around the ear and weakness on one side of the face. Early antivirals help.

TreatmentAntivirals and steroids within 3 days

Symptoms

Common signs:

  • Ear rash with face weakness
  • Painful rash or blisters in or around the ear
  • One whole side of the face is weak, including the forehead, or one eye won't close

Less common

  • Hearing loss
  • Dizziness

When to get medical care

Call 911Sudden face drooping, arm weakness, trouble speaking, or vision loss: call 911.
Get care todayFace weakness with ear rash.
See a doctor soonSymptoms that last or keep coming back.

Causes

Shingles virus.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Older adults

Diagnosis

Exam.

Treatment

Protect the eye.

Self-care

  • Use eye drops

Medicines

Medicines that may help:

MedicineHelps withGood to know
Antivirals
Shingles

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

  • Shingles vaccine

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an ENT doctor (ear, nose, and throat doctor).

Living with it

Support groups and helplines

Back to school, work, or sports

  • You can work or go to school if the rash is covered.
  • Until blisters crust, stay away from pregnant people, newborns, and people with weak immune systems who haven't had chickenpox.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Many recover.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What's causing my symptoms?
  • What treatment do you recommend?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Ramsay Hunt syndrome (shingles of the ear)

Sources

Last updated 2026-11-12.