Best Medication For Herpes Simplex 2

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Herpes Simplex : Causes Symptoms And Best Treatments

What is Herpes simplex virus type 2 ?

As said by The World Health Organization, HSV-2 infection is widespread throughout the world and is almost exclusively sexually transmitted, causing genital herpes. HSV-2 is the main cause of genital herpes, which can also be caused by herpes simplex virus type 1 . Infection with HSV-2 is lifelong and incurable.

Causes of Herpes

In rare circumstances, HSV-2 infection can be transmitted from a mother to her infant during delivery to cause neonatal herpes .

Signs and Herpesâs symptoms

Herpes simplex 2 causes most genital herpes, but HSV-1 type can cause it, too. If you have it, you may have a rash or blisters that can ooze or bleed. But most people have either mild symptoms or none at all. But you can still pass it to a partner without knowing you have it, according to WebMD.

Genital herpes infections often have no symptoms, or mild symptoms that go unrecognised. Most infected people are unaware that they have the infection. Typically, about 10-20% of people with HSV-2 infection report a prior diagnosis of genital herpes. However, clinical studies following people closely for new infection demonstrate that up to a third of people with new infections may have symptoms.

Treatments

Additional research is underway to develop more effective prevention methods against HSV infection, such as vaccines or topical microbicides .

Prevention

How Herpes Outbreaks Occur

Once it enters a human cell, the HSV virus penetrates the cell’s nucleus and begins the process of replication. Even though cells may be infected, you probably will not experience any symptoms at this stage.

During the initial infection, the virus is transported through nerve cells to nerve-branching points, known as ganglia. There, the virus will stay in an inactive, dormant state, neither replicating nor presenting any signs that it’s even there.

On occasion, the dormant virus may suddenly reactivate, starting the replication process anew. When this happens, the virus will travel back through the nerve to the surface of the skin. With this, many of the infected skin cells are killed, causing blisters to form. The eruption of these blisters creates the characteristic ulcers that are recognized as cold sores or genital herpes.

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Treatment For Oral Herpes

The antiviral medications available in pill form have been specifically developed for the treatment of genital herpes. However, it is not uncommon for healthcare providers to prescribe the antiviral drugs to those who have frequent or severe outbreaks of oral herpes.

A recent study found valacyclovir to be effective for treating oral herpes in a one-day treatment of 2 grams taken at the first sign of a cold sore, and then again about 12 hours later.

There are two topical antiviral medications prescribed for the treatment of oral HSV symptoms: acyclovir ointment and penciclovir cream. Both work to speed up the healing process and reduce the viral activity. These topical drugs are put directly on the lesions themselves, but can also be used at the onset of prodrome.

Other topical treatments for oral herpes are available over-the-counter , but are not antiviral compounds like acyclovir and penciclovir. Some also contain ingredients that numb the area and induce temporary relief from the discomfort of an outbreak. Unfortunately, some OTC treatments may actually delay the healing time of symptoms because they can further irritate the area with repeated applications. There is only one OTC FDA-approved cream, called Abreva®, which has been clinically proven to help speed the healing process.

When Is Preventive Treatment Considered

Some people have outbreaks of genital herpes very often or experience especially severe symptoms. Then it may be a good idea to take antiviral medication for a longer time including during symptom-free phases. The goal is to prevent further outbreaks and to keep the symptoms from becoming so severe. Also, the antiviral medication reduces the likelihood of infecting others. As preventive treatment, the WHO recommends the following:

• aciclovir: 400 mg two times per day,
• famciclovir: 250 mg two times per day or
• valaciclovir: 500 mg once per day.

Research shows that preventive treatment can considerably lower the risk of further outbreaks. The people participating had four or more herpes outbreaks per year before the start of the studies, and then took an antiviral medication or a fake treatment for up to one year. A comprehensive analysis of the study results shows that

• 96 out of 100 people who took a placebo had at least one further outbreak of genital herpes.
• 46 out of 100 people who were given antiviral medication had at least one further outbreak of genital herpes.

In other words, the medication prevented further outbreaks in 50 out of 100 people within one year.

People with very frequent herpes outbreaks also benefited from preventive treatment: In one study involving people with very frequent outbreaks, the medication lowered the number of episodes in one year from 11 to 2.

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Can I Treat Herpes Simplex At Home

Avoiding known triggers, such as illness or stress, can help reduce how often you have herpes outbreaks.

How can I ease my symptoms during an outbreak of HSV-1 ?

• Over-the-counter creams such as L-lysine, benzocaine or docosanol .
• Applying ice to blisters or sores.

How can I ease my symptoms during an outbreak of HSV-2 ?

• Apply an ice pack to your genitals. Wrap the ice pack in a washcloth or apply it over your underwear.
• Keep your genitals dry. Wear cotton or other nonsynthetic underpants and avoid tight-fitting clothes. Moist sores take longer to heal.
• Soak in a warm bath.
• Take nonsteroidal anti-inflammatory drugs to relieve pain.
• Topical 1% or 2% lidocaine may be used as a topical analgesic.

What Are The Best Natural Remedies For Herpes

When experiencing a herpes outbreak, one of the most important things someone can do is keep the area clean, cool, and dry, since heat and dampness can irritate the sores. Maintaining a healthy immune system can go a long way too, according to Dr. Hayag. A strong, healthy immune system can keep herpes under control, prevent outbreaks, and reduce the duration of symptoms, she says. Supplements like zinc, vitamin C, and echinacea are vital to increasing your immune function and easy to incorporate into your daily routine. And when it comes to natural remedies, there are several that can provide much-needed relief.

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When Treatments For Genital Herpes Are Given

• Initial treatment. If you have symptoms such as sores when you’re first diagnosed with genital herpes, your doctor will usually give you a brief course of antiviral therapy to relieve them or prevent them from getting worse. Your doctor may keep you on the drugs longer if the sores don’t heal in that time.

After the first treatment, work with your doctor to come up with the best way to take antiviral therapies. There are two options:

• Intermittent treatment. Your doctor may prescribe an antiviral drug for you to keep on hand in case you have another flare-up this is called intermittent therapy. You can take the pills for two to five days as soon as you notice sores or when you feel an outbreak coming on. Sores will heal and disappear on their own, but taking the drugs can make the symptoms less severe and make them go away faster.
• Suppressive treatment. If you have outbreaks often, you may want to consider taking an antiviral drug every day. Doctors call this suppressive therapy. For someone who has more than six outbreaks a year, suppressive therapy can reduce the number of outbreaks by 70% to 80%. Many people who take the antiviral drugs daily have no outbreaks at all.

There is no set number of outbreaks per year that doctors use to decide when someone should start suppressive therapy. Rather, more important factors are how often the outbreaks happen and if they are severe enough to interfere with your life.

Continued

How Herpes Is Treated

There is no cure for herpes.

• The health care provider may prescribe antiviral medicine to help speed up the healing process. It also shortens the time when the virus can spread from the herpes sores.
• Pain may be treated with medicine such as Tylenol or Motrin or by applying an ice pack wrapped in a towel to the affected area.
• If sores are in the mouth, avoid foods high in acid, like citrus fruits and juices.
• The infected area should be kept clean and dry.
• Wash hands often and avoid touching the sores to prevent spreading the virus.
• It is important to stay healthy by getting enough rest, having proper nutrition and exercise and managing stress well.

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Asymptomatic Genital Viral Shedding

In the majority of cases endogenous viral reactivation is characterised by asymptomatic genital viral shedding. Most commonly HSV-2 is shed by HSV-2 seropositive patients, and this is the case for almost anyone who is anti-HSV-2 IgG positive 21. In contrast, HSV-1 shedding is uncommon. These data allow the assumption, with a high level of certainty, that HSV-2 seropositive people should always be regarded as potential virus excretors.

Herpes Symptoms And Signs

In order to diagnose herpes, a health care provider can swab an area of visibly active herpes infection or, if symptoms arent active, a blood test can be given that measures the number of herpes antibodies present in the body. The antibodies dont indicate herpes itself, but rather show the immune systems response to the presence of the virus in the body. Its important to note that sometimes a swab can give false negative results since herpes lesions need to be large enough to yield enough detectable virus and if the outbreak is already healing it also may not be detected in a swab.

The most common herpes symptoms include:

• Developing either a single cold sore or cluster of multiple cold sores that form on the lips, inside the mouth, or on the genitals, buttocks and upper thighs.
• Sores can sometimes be severe, painful and rupture and cause fluid to be secreted out.
• Some herpes canker sores develop a thin, white coating and burn when touched while they healing.
• Around herpes cold sores, its common to feel pain, tenderness and other symptoms of a rash, such as redness or signs of swelling.
• Some people are able to tell before an outbreak if one is going to occur because they feel tingling, itchy sensations near the affected area.
• Some people develop other symptoms during herpes outbreaks that are similar to those caused by a cold or the flu. This may include fatigue, irritability, aches or a slight fever.

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How Can I Reduce My Risk Of Herpes Simplex

Preventing HSV-1

You can reduce your risk of contracting HSV-1 by avoiding physical contact with someone who has a cold sore. People can still spread HSV-1 when cold sores arent present, but its less likely.

If someone has an active HSV-1 infection, avoid:

• Sharing utensils, cups, lip balms or other personal care products.
• Touching the skin near their mouth.

Preventing HSV-2

If youre sexually active, you can take these steps to protect yourself and others from the herpes virus and other STIs:

• Be monogamous with one sexual partner or limit your number of partners.
• Get tested for STIs and complete any prescribed treatment.
• Tell your sexual partners if you have genital herpes so they can get tested.
• Use condoms during intercourse and dental dams during oral sex.

Wash your hands often if you have an outbreak or are around someone with symptoms.

If your sexual partner has genital herpes, these actions can lower your risk of getting the virus:

• Dont have sex when your partner has active symptoms. Condoms may not cover all sores, so you may still get the virus.
• Make sure your partner takes antiviral medication as prescribed.
• Wait to have sex until scabs fall off active lesions.

First And Subsequent Episodes

The first genital herpes outbreak will generally be worse than the ones that follow. During a first outbreak, the appearance of lesions will often be accompanied by:

• Pain or burning with urination
• Unusual vaginal discharge

Subsequent attacks tend to be shorter and less severe. They are often preceded by genital pain or shooting pain in the legs, hip, or buttocks several hours or days before the attack.

Over time, the number of outbreaks tends to decrease and become less severe.

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Order Antiviral Treatments For Herpes

If you have genital herpes, you can get an online prescription for antiviral herpes medication discreetly and easily. Our doctor’s 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.

Additional Treatment For Oral Herpes

Antiviral pills are often a better choice for treating oral herpes, especially if you have recurrent outbreaks . Theyre typically less expensive than oral herpes creams and are effective options to consider.

If you have persistent oral herpes infections, taking oral antiviral medications may be a better option than creams. Here are three of the most commonly used oral antivirals with their typical cold sore treatment doses:

• Valacyclovir : 2,000 mg by mouth every 12 hours for 1 day

• Famciclovir: 1,500 mg by mouth one time only

• Acyclovir buccal tablets : 50 mg dissolved in the cheek one time only. Healthcare providers sometimes prescribe different doses of oral acyclovir capsules and tablets. This is considered an off-label use, as theyre not FDA-approved for treating cold sores.

There are currently no studies that directly compare all three antiviral medications. But a review of multiple studies found that valacyclovir healed cold sores faster than acyclovir.

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Best For Quick Results: Stdcheck

STDcheck offers tests for both HSV-1 and HSV-2. A person can order an HSV-2 test for $45, or they can order a test for both HSV-1 and HSV-2 for $79. There is also an option to order a test package that tests for 10 different STIs.

This option is best for people who need their results quickly.

Side Effects And Follow

Side effects with these herpes drugs are considered mild, and health experts believe these drugs are safe in the long term. Acyclovir is the oldest of the three, and its safety has been documented in people taking suppressive therapy for several years.

People taking suppressive therapy should see their doctor at least once a year to decide if they should continue. You may find taking the pills every day to be inconvenient, the drugs may not work for you, or you may naturally have fewer outbreaks as time goes on. Your doctor can help you make treatment choices to suit your needs.

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Other Uses For This Medicine

Acyclovir is also sometimes used to treat eczema herpeticum to treat and prevent herpes infections of the skin, eyes, nose, and mouth in patients with human immunodeficiency virus , and to treat oral hairy leukoplakia .

This medication may be prescribed for other uses ask your doctor or pharmacist for more information.