Antiviral Ointment For Genital Herpes

Referral To A Specialist

If you have genital herpes and you are pregnant, it is very important you are referred for specialist treatment. This is because the infection could pass to your unborn baby.

Read about complications of genital herpes for more information about genital herpes and pregnancy.

You should also be referred for specialist treatment if you have a weakened immune system , for example, if you:

• are receiving chemotherapy

If you have a weakened immune system you will need specialist treatment because genital herpes can last longer and be more severe.

How Do I Treat Genital Herpes

For most people antiviral medicine is not necessary either because their body prevents recurrent symptoms or because they find that adopting a healthier life style makes a difference. See What can I do to prevent frequent recurrences?For people who are unlucky and get frequent recurrences, there are two ways that antiviral tablets can be used.

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Zovirax Cold Sore Cream

This information is intended for use by health professionals

Zovirax Cold Sore Cream

100mg Aciclovir equivalent to 5% w/w

Excipients with known effect: 400 mg propylene glycol and 7.5 mg sodium laurilsulfate / gram cream.

Zovirax Cold Sore Cream is indicated in adults and children for the treatment of Herpes simplex virus infections of the lips and face .

Immunocompromised Patients

Zovirax Cold Sore Cream is not recommended for use in immunocompromised patients. Such patients must be advised to consult a physician concerning the treatment of any infection.

Route of administration Topical

Adults and children

Zovirax Cold Sore Cream should be applied five times daily at approximately four hourly intervals, omitting the night time application. Zovirax Cold Sore Cream should be applied to the lesions or impending lesions as soon as possible, preferably during the earliest stages . Treatment can also be started during the later stages.Treatment should be continued for at least 4 days. If healing has not occurred, treatment may be continued for up to 10 days. If lesions are still present after 10 days, users should be advised to consult a doctor. Users should wash their hands before and after applying the cream, and avoid unnecessary rubbing of the lesions or touching them with a towel, to avoid aggravating or transferring the infection.

Use in the Elderly

No special comment.

The excipient cetyl alcohol can cause local skin reactions .

Ocular herpes

Fertility

None known.

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Types Of Antiviral Drugs

There are three oral antivirals recommended for the treatment of oral or genital herpes:

Preventing genital herpes recurrence is important as it reduces the risk of HIV. According to the CDC, having an active genital herpes infection increases the risk of HIV by 200% to 300%.

What Triggers Herpes Outbreaks

If youve had herpes for a while, you might have identified things that cause your herpes to crop up. Some of the most well-known triggers for herpes are things that stress your body, like lack of sleep or even a common cold. While your body is off dealing with some other stress, your immune system is essentially distracted, allowing your herpes to wake up. Thats why theyre called cold sores or fever blistersbecause they often appear when you have a cold or fever.

Other common triggers include:

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Key Benefit: Helpful For Preventing Secondary Infections And Cleansing Wounds

How Betadine works:

The active ingredient in Betadine is Povidone-Iodine, long renowned for antiseptic and wound cleansing properties.

Antiseptic in nature, this formula may help to sterilize and control a cold sore infection when applied to the blister.

The active ingredient may also help relieve the pain and burning.

Directions:

Apply liberally to the affected area at least 4 times a day.

Order Antiviral Treatments For Herpes

If you have genital herpes, you can get an online prescription for antiviral herpes medication discreetly and easily. Our doctorâs prescribe aciclovir, valaciclovir or famciclovir via our online service.

Order for a herpes outbreak: if you have a flare-up of symptoms, you can get a short course of medication to help control the outbreak.

Order to prevent outbreaks: if you get outbreaks more than 6 times a year or find your symptoms are hard to deal with, you can have suppressive treatment. This is where you take a low dose of antiviral medication every day to help prevent outbreaks.

Order a herpes test: if you need to check if youre a carrier of herpes, you can order a herpes test online now.

Click & Collect: free Next Day Delivery: £3.99Dispensing and standard delivery included.

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Topical Herpes Creams And Ointments

There is a range of effective over the counter products available including Abreva, Betadine, Lemon Balm and Zovirax.

Cold sores and other herpes symptoms are caused by a virus so be on the look out for active ingredients that are specifically antiviral such as Acyclovir, also the herbs Lemon Balm and Tea Tree oil.

Some creams and ointments have antiseptic properties like Abreva and the herb Lemon Balm . Although these do not usually act directly on the virus itself, they can help by warding off the infection that is caused by the virus and soothing the redness and inflammation.

Contents

Creams and ointments are usually indicated for facial herpes infections , so check with your Doctor before trying them on a genital infection.

Here we briefly discuss some of the topical treatment options that are available:

Prevention Of Genital Herpes

The best protection against STIs is to always use barrier protection such as condoms, female condoms and dams . Because herpes is spread by skin-to-skin contact, condoms will reduce the risk of transmission, but it will not protect sexual partners completely as condoms do not cover the entire genitals.

Using lubricant with a condom during sex will also reduce the risk of trauma to the genital skin. This has been shown to reduce HSV transmission, especially in the first six months of a sexual relationship. Silicone-based lubricants are recommended.

Remember that herpes transmission can occur when symptoms are present , but may also occur even if there are no genital symptoms through asymptomatic viral shedding.

For people who have frequent episodes of genital herpes, antiviral medication, taken daily, helps to reduce transmission of herpes to a sexual partner.

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What Is This Medication

ACYCLOVIR helps manage infections, such as cold sores and genital herpes, caused by viruses. This medication does not kill the virus and it may still be possible to spread the virus to others. This medication will not treat colds, the flu, or infections caused by bacteria.

This medicine may be used for other purposes ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME: Zovirax, Zovirax Cream, Zovirax Ointment

Rule #: Dont Touch It

Touching the sores can increase the chance that you spread the virus to other parts of your body or to other people. Make sure to wash your hands frequently. Also, you can use a cotton swab or a finger cot to apply cream or ointment to the affected area instead of your fingers to avoid spreading the virus to other regions .

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How To Prevent Herpes

Its advised to avoid sexual and oral contact with someone who is currently experiencing a herpes outbreak, but its also important to remember that herpes is transmittable even when it is dormant. The risk during latent periods is lower, but its not zero.

While barrier methods can reduce your risk of contracting or transmitting an STI, there is still a risk that you could get herpes during sexual contact if youre with someone who has it.

If you develop herpes, there are certain precautions you can take to reduce transmission to others. These include:

• using barriers, like condoms and dental dams, during sex
• avoiding sexual contact or kissing while youre having a herpes outbreak
• taking medications, such as those listed above these may be associated with lower risk of herpes transmission, though its best to speak with your doctor

If you do develop herpes, inform your sexual partner.

Its important to tell your doctor if youre pregnant and develop herpes, as the virus can spread to the infant during vaginal delivery. Herpes can be dangerous for newborns. Inform your doctor as soon as possible so that they can help you plan and take precautions to help prevent transmission to your baby.

Should I Take Antiviral Pills For My Herpes

Antivirals are always an option, not a requirement. Luckily since humans have had herpes since the beginning of time and antivirals were invented in the 1970s. So the decision whether to take them or not is up to you.

If you choose to take them, you can be reassured that they are safe. Even in early pregnancy, aciclovir has not shown any problems. The compound works on virus, not on humans. It works while it is in the body and is expelled in the urine very quickly. This is why aciclovir tablets are taken at least twice a day .

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How Far Away Is A Cure For Herpes

Theres currently no cure for herpes, but that might change in the future.

According to 2020 research published in Nature, scientists from the Fred Hutchinson Cancer Research Center removed 90 percent of the HSV-1 virus from cells in mice using gene editing.

However, it takes time to transition potential treatments from animals to humans. In a 2020 news article, one of the researchers that authored the Nature paper estimated that it would be at least 3 years before human trials.

Scientists are also researching the possibility of creating a vaccine to prevent herpes. A 2022 study outlined a new approach to developing an mRNA vaccine for herpes. The vaccine mentioned in the study worked well in mice and guinea pigs.

The researchers say that theyre aiming to conduct human trials before the end of 2022, and the vaccine could be available within the next 10 years.

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The Virus And Pathogenesis

HSV is a double-stranded DNA virus that may enter the host through abraded skin or intact mucous membranes.1 Epithelial cells are the initial targets. Once infected, these cells die, releasing clear fluid intradermally to form vesicles and merging with other cells to create multinucleated giant cells.

Retrograde transport through adjacent neural tissue to sensory ganglia leads to lifelong latent infection.1 Reactivation of the virus is triggered by local or systemic stimuli such as immunodeficiency, trauma, fever, menstruation, ultraviolet light and sexual intercourse.13 Although emotional stress is assumed to trigger HSV recurrence, recent research fails to show a definite causative role.4 Once reactivated, the virus is transported by the neuron back to the epithelium, where more replication occurs, and another outbreak ensues.

HSV exists as two separate types, labeled 1 and 2, which have affinities for different body sites.2 Ninety percent of infections caused by HSV-2 are genital, and 90 percent of those caused by HSV-1 are oral the reason for this division is unknown.5 In addition, oral HSV-1 infection recurs more frequently than oral HSV-2, and genital HSV-2 recurs more often than genital HSV-1.

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What Treatments Are Available For Genital Herpes

The treatment for genital herpes varies between an initial outbreak and a recurrent attack. If you are suffering from a primary infection of genital herpes then it is likely you will be prescribed an antiviral medication, for example, Aciclovir 400mg tablets.

Aciclovir works by preventing the herpes simplex virus from multiplying. Aciclovir, and other antivirals, are unable to completely eradicate the infection from the body. The dose of Aciclovir when treating genital herpes is typically one 400mg tablet, five times a day after your inital outbreak. You will need to take Aciclovir for at least five days or longer depending on whether new blisters are still forming when you start treatment. For subsequent outbreaks of genital herpes, you only need to take one Aciclovir 400mg tablet, three times a day for five days. Other antiviral medications used to treat genital herpes include Valaciclovir, which works in a similar way to Aciclovir.

Lidocaine 5% ointment is an anaesthetic ointment used to know the area of genital herpes to relieve the pain and irritation of blistering during the outbreak. It does not treat the infection itself, however, it helps to relieve the symptoms whilst the outbreak clears on its own.

Recurrent outbreaks may require a course of Aciclovir however, if your symptoms are mild, you may wish to use some self-help techniques to ease the symptoms. These can include:

Herbs Vitamins And Other Supplements

It isnt always possible to eat foods containing the high levels of nutrients your body needs to fight genital herpes, but herbs, vitamins, and supplements can help. The following choices are known to boost immune system function and help the body combat herpes outbreaks.

Zinc. Chickpeas, pork, lamb, and wheat germ all contain high levels of zinc. Research shows that zinc ions are active against the herpes simplex virus and may even extend the time between outbreaks.

Lysine. Research is still ongoing, but recent reports suggest that daily lysine supplementation may reduce the recurrences of herpes outbreaks. Though lower doses of lysine show little effect, high doses of up to 3,000 mg a day may be beneficial.

Probiotics. Probiotics are well known for their immune-boosting abilities. Now research also shows that certain probiotic strains can limit herpes infections as well.

Vitamin B Complex. The full range of B vitamins serves many critical roles in your body, including healthy cell growth, metabolism, and energy. You need all of these functions in full force to respond to an active outbreak of herpes.

Aloe vera. Aloe vera isnt just for sunburn! Pure aloe vera offers antimicrobial, antifungal, and wound healing properties that soothe herpes symptoms and encourage rapid healing.

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To Use Acyclovir Cream Follow These Steps:

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Recurrent Episodes Of Genital Herpes

Recurrences are usually less painful and shorter in duration than the first episode of genital herpes. Over time, episodes usually become less frequent and may eventually stop altogether. Infections caused by HSV1 are less likely to recur in the genital area than infections caused by HSV2.

Recurrences may be triggered by:

• no apparent reason noted.

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Can Aciclovir Cream Cause Problems

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with creams containing aciclovir. You will find a full list in the manufacturer’s information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

If you experience any other symptoms which you think may be due to the cream, please speak with your doctor or pharmacist for further advice.

Whats The Outlook For Someone With Either Condition

You can easily treat genital pimples at home. But if they dont go away in a week or more, see your doctor in case another condition is causing your pimples to appear.

Herpes cant be cured, but it can be successfully managed with prescription antibiotics and OTC pain relievers. Researchers are working to find a cure or vaccine.

Pimples can appear suddenly for a number of reasons, so its hard to fully prevent them. Keeping the area clean with a gentle cleanser is usually sufficient.

You can take quick, easy action each time you have sex to prevent yourself from getting herpes.

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Treatment Of Primary Infection

Antiviral therapy is recommended for an initial genital herpes outbreak, especially if the patient has systemic symptoms or is immunocompromised.2 Oral acyclovir is effective in reducing symptoms1. Intravenous administration may be required in immunocompromised patients and those with severe disseminated infection.1 Topical acyclovir reduces the duration of viral shedding and the length of time before all lesions become crusted, but this treatment is much less effective than oral or intravenous acyclovir.1

Topical Otc Treatments For Genital Herpes

Several over-the-counter topical options are available for genital herpes treatment, but evidence suggests they arent all effective.

Start with a few simple DIY topical compresses. Research shows that topical therapy can effectively alleviate symptoms of genital herpes outbreaks and even contribute to the prevention of outbreaks when used promptly.

Here are a few tried-and-true natural compress ideas to get you started:

• -Dry, warm compress using warmed rice in a sock
• -Cold compress using an ice pack or soft washcloth filled with ice
• -Baking soda paste
• -Crushed garlic cloves mixed with olive oil
• -Topical apple cider vinegar using one-part ACV and three-parts warm water

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