‘As we move into the warmer months, it’s important that pharmacy teams are aware of tick bites and signs of Lyme Disease such as the erythema migrans rash, also known as a bull’s-eye rash, which can sometimes be mistaken for ringworm.
Pharmacies are often the first port of call for patients with minor illnesses and conditions, therefore while this is not a condition that can be treated in pharmacies, it is imperative that pharmacy teams can recognise the symptoms and signpost patients to their GP practice so they can receive treatment quickly.’

Rosie Taylor, Head of Service Development, Community Pharmacy England
Tick bites and Lyme disease are not treatable under the Pharmacy First clinical pathway for infected insect bites, with patients needing to be signposted on to their GP. Understanding the early symptoms of Lyme disease and recognising the diagnostic EM rash will help pharmacy teams to give appropriate advice.

Useful learning resources
- Recognising the erythema migrans (EM) rash – key considerations including appearance and behaviour of the rash
- Royal College of General Practitioners Lyme Disease e-learning toolkit – Check out this user-friendly guide available for other healthcare professionals to access (please note, you will need to register on the website to be able to access the e-learning).
- Key points on diagnosis, testing and treatment
- NHS guide to Lyme disease
Raising awareness of tick bite prevention and Lyme disease
May is Lyme Disease Awareness Month and each year we run our nationwide awareness campaign promoting the importance of tick bite prevention to reduce the risk of Lyme disease. Please join us in helping to educate local communities by displaying information in your pharmacy.

Posters, digital animations and social media
- Downloadable posters, leaflets, tick cards
- Order A4 posters, tri-fold leaflets and tick awareness cards (available while stocks last)
- Download our Be Tick Aware animation that can be played on digital screens. Download horizontal version. Download vertical version.
- Share our posts on Facebook, IG, LinkedIn, Bluesky and X.
Thank you for taking part in our campaign!
