Types Of Antiviral Drugs
There are three oral antivirals recommended for the treatment of oral or genital herpes:
|Famvir, 250 mg||Twice daily|
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%.
Preventing The Spread Of Herpes
Even when you do not have sores, you can pass the virus to someone during sexual or other close contact. To protect others:
- Let any sexual partner know that you have herpes before having sex. Allow them to decide what to do.
- Use latex or polyurethane condoms, and avoid sex during symptomatic outbreaks.
- Do not kiss or have oral sex when you have a sore on the lips or inside the mouth.
- Do not share your towels, toothbrush, or lipstick. Make sure dishes and utensils you use are washed well with detergent before others use them.
- Wash your hands well with soap and water after touching a sore.
- Consider using daily antiviral medicine to limit viral shedding and reduce the risk of passing the virus to your partner.
- You may also want to consider getting your partner tested even if they have never had an outbreak. If you both have the herpes virus, there is no risk for transmission.
The Course Of The Infection
The beginning of the disease reminds of a common flu. The infection does not always develop into a blister on the lips. Sometimes you fight flu-like symptoms for a few days, but no blister appears. The virus never leaves the body, it stays there and usually becomes active when the organism has been weakened by another illness or stress. Then a typical cold sore forms. The first type of herpes often occurs in babies and later in adult and old people. The second type occurs at the beginning of sexual maturity, between 14 and 29 years.
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A worldwide infection
The infectious herpes disease with typical blisters is the most common infection in the world. The most common types of herpes are called HSV1 and HSV2.
The first type is responsible for the onset of herpes in the facial area, especially on the lips. It is often transferred while kissing. The second type is transmitted during sexual intercourse and results in blisters in the genital area. In certain cases, HSV1 may also cause a blister in the genital area and HSV2 may cause a blister on the lips.
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Why Genital Herpes Comes Back
Genital herpes is caused by a virus called herpes simplex. Once you have the virus, it stays in your body.
It will not spread in your body to cause blisters elsewhere. It stays in a nearby nerve and causes blisters in the same area.
If you can, avoid things that trigger your symptoms.
Triggers can include:
- surgery on your genital area
- a weakened immune system for example, from having chemotherapy for cancer
What Happens If You Dont Get Herpes Treatment
The good news about herpes is that its not deadly or even very dangerous. It might be annoying, but herpes doesnt get worse over time or cause serious health problems like other STDs can.
If you dont get treated for herpes, you might keep having regular outbreaks, or they could only happen rarely. Some people naturally stop getting outbreaks after a while.
There are a few reasons people may decide not to get treatment. They might not have that many outbreaks, or their outbreaks dont really bother them. Or maybe theyre not having sex, so theyre not that worried about having herpes right now. Whatever your situation is, getting treatment for herpes is your choice.
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What Can I Do If I Have Herpes Simplex 2
Many people who find out they have herpes feel depressed knowing they’ll always have the virus and can give it to others. But you arent alone. Herpes is one of the most common STIs, both in the U.S. and worldwide. If you have herpes, you should:
- Learn all you can about it. Information will help you to manage your disease and feel better about yourself.
- Talk about your illness with your doctor.
If you have herpes, you can still:
- Have sex if you use a condom or dental dam , and you tell your partner about your illness. Some couples, who have sexual relations only with each other, may choose not to use condoms even though one partner has herpes. Because each situation is different, you should ask your doctor if this is the right choice for you in your relationship.
- Have children. People with herpes can still give birth to healthy babies. If you have herpes and plan to have children, discuss your illness with your healthcare provider.
If you have herpes, you should also get checked for HIV and other STIs .
When To Call A Doctor
If you haven’t been diagnosed with genital herpes, call your doctor if you have:
- Painful blisters or sores in the genital or pelvic area.
- Burning or pain while urinating, or you can’t urinate.
- Reason to think you’ve been exposed to genital herpes.
If you have been diagnosed with genital herpes, call your doctor if you are having frequent outbreaks or if you can’t pass urine or are constipated.
If you are pregnant and have genital herpes, or if you think you have genital herpes, tell your doctor.
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Are Antiviral Medications Safe
Antiviral medications are considered to be very safe. They are nearly always well tolerated because the active ingredients only have an effect in cells that have been infected by the virus.
People who have kidney failure may need to take a lower dose because the medication is removed from the body through the kidneys.
What Are The Complications
Complications are rare, but some people especially those with weakened immune systems, such as people with HIV, may have trouble fighting the virus and get a secondary infection in the eye, fingers, joints, throat, colon, liver, lungs or brain.
If you are pregnant, and you or your partner have a history of herpes, it is important to inform your health care provider. There are steps that can be taken to help prevent the virus being passed to the baby. This is most likely to happen if the mother has a primary first outbreak in the third trimester. Herpes can cause serious complications for the baby, including death. Women who have genital herpes before they become pregnant are at very low risk of passing it to their infant.
How Is Herpes Simplex Treated
Some people have few to no herpes outbreaks and choose not to have treatment. But many people prefer to use medications that shorten outbreaks and reduce symptoms.
During an outbreak, you may use an antiviral ointment or cream to help lessen your symptoms and help them go away faster, but it only works if you start it soon after you start an outbreak. Many people with HSV-2 take daily oral medications to keep outbreaks at bay.
Your provider may prescribe a topical medication or oral medication such as:
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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To Reducing The Pain Or Discomfort During An Outbreak:
- Keep the skin clean and dry.
- Do not used products that may be irritating .
- Apply ice packs or a bag of frozen peas to numb the area .
- Wear loose-fitting underwear/clothing.
- Pour warm water over genitals while urinating to ease any burning.
- Never pick at blisters or sores.
- Avoid over the counter ointments. These are not intended for genital herpes.
Over The Counter Antivirals For Genital Herpes
- -Abreva is the only FDA-approved antiviral medication for herpes simplex that is available without a prescription. This medication slows the ability of the herpes virus to multiply in the body, which reduces symptoms and supports faster recovery.
- -Oral pain relievers like acetaminophen and ibuprofen arent antivirals, but theyre available over-the-counter to alleviate herpes-related pain and discomfort until your outbreak ends.
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Is There Anything I Can Do To Relieve The Symptoms Myself
In some women, genital herpes blisters cause pain when urinating . Many of them find it soothing to pee while sitting in warm, shallow water . You can do this using special tubs that fit into toilet bowls. They are available at a reasonable price, for instance from pharmacies or on the internet. Its best not to use soaps or bath additives because they can irritate the affected area even more. Other things you can do to avoid irritating it further include wearing loose-fitting clothes and underwear made out of fabrics that have a smooth surface.
Painkillers such as ibuprofen are an option if the blisters become very painful.
Topical antiviral treatments such as creams or ointments dont provide any relief, but they can increase the risk of viral resistance. Experts advise against using topical treatments for genital herpes.
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Antiviral Medicine Can Be Taken Daily
For some people, taking an antiviral medicine every day works best because they have:
A partner who doesnt have the virus
Even if you treat an outbreak, you can have new outbreaks. Some people have several outbreaks a year. If you have six or more outbreaks a year, your dermatologist may recommend taking an antiviral medicine every day.
Taken daily, this medicine can reduce how often you have an outbreak. Studies show its safe to take daily and can reduce outbreaks by 70% to 80%.
A partner who doesnt have the virus
If your partner doesnt have the virus that causes genital herpes, taking an antiviral medicine every day can decrease the risk of passing the virus to your sexual partner.
Even when taking medicine, you can still give your partner the virus. You can reduce this risk by skipping sex when you have sores and wearing a condom when you dont.
If you decide to take medicine daily, youll likely take it every day for at least one year. At the end of one year, your dermatologist should re-evaluate you to see if you still need to take an antiviral every day.
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Should I Take Antiviral Pills For My Herpes
Reasons for choosing short course/episodic treatment:
Reasons for choosing suppression/prophylactic/long-term treatment:
See section above for the dosing.
Advertisement:There are now UK-based websites, such as MedExpress, which are authorised by the Care Quality Commission to sell aciclovir for treating genital herpes to diagnosed patients.
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Are There Any Home Remedies For Genital Herpes
Home remedies are often natural and quick ways to deal with ailments. Are there any home remedies for genital herpes, or is medication the only option? Find out here.
Contracting an STI like genital herpes can be embarrassing. You may feel uncomfortable going to your doctor or a sexual health clinic, but also need to know for sure that you have the virus, as well as what to do next. As Herpes is a virus, there is no known cure, but thankfully it can be treated. There are a number of home remedies that can reduce discomfort, but these are no substitute for a course of antiviral medicine that will stop the virus from multiplying. Here we are going to detail both so you can get the best possible treatment
A Little About the Condition
Physical symptoms include blisters and other marks which can appear around your genitals as well as around the mouth, as cold sores and herpes are actually caused by the same virus. Given the nature of this particular virus, anyone who engages in sexual activity with someone they know to have herpes should get tested immediately even if they show no signs or symptoms.
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What Happens During An Outbreak
Genital herpes is an infection caused by the herpes simplex virus. You catch it by having intimate contact with someone who has the virus.
In between episodes, most people don’t know they have been infected by it. The virus remains in your nervous system and can be reactivated from time to time to give you symptoms. Outbreaks can occur in the genital area if the first infection was in the genitals. They cause crops of small painful blisters in the genital area and back passage . Herpes can also cause recurrent cold sores if the primary infection was around the mouth.
No one knows why outbreaks occur, although sunlight, physical illness, excess alcohol, and stress are all thought to be trigger factors. They often do become less frequent over time.
Recurrent episodes of genital herpes generally don’t last as long as the first outbreak. They are sometimes preceded by itching or tingling in the genital area. Recurrent outbreaks usually last about 7-10 days, shorter than the primary infection which can last up to two weeks. They are also often milder than a primary infection but as R35506 found, the shallow ulcers left when the blisters break can still be quite painful.
What Are The Treatment Options For Genital Herpes
Treatment with antiviral medication is a good idea the very first time people have an outbreak of genital herpes. Later outbreaks are often milder, and then medication isn’t always needed. Preventive treatment may be considered if the outbreaks are frequent.
Genital herpes may clear up on its own. But the symptoms are often more severe the first time you have an outbreak. Most people then use antiviral medication to relieve the symptoms and prevent complications. These medications include aciclovir, famciclovir and valaciclovir.
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How Does Genital Herpes Affect Pregnant Women
While genital herpes rarely causes serious health problems in healthy men and women, HSV-2 can be dangerous for pregnant women and the neonate, particularly during the last trimester of pregnancy. The virus may cause premature labor and babies can contract the virus in the womb or when passing through the birth canal.
Is Genital Herpes Infection Related To Hiv
Herpes and HIV are caused by different viruses. But patients infected with these viruses are more likely to transmit either disease to their sexual partners. Patients with herpes are more vulnerable to HIV infection. People newly diagnosed with herpes should be tested for HIV infection and other sexually transmitted infections.
Patients who are infected with both herpes and HIV also may have a higher concentration of HIV viruses in their body because of the interaction between the herpes virus and the HIV virus. When HIV damages a persons immune system, the person may be more likely to shed herpes simplex virus asymptomatically.
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Counselling For Genital Herpes
If you have just found out that you have genital herpes, it is likely you will have a lot of questions. A diagnosis of genital herpes often comes as a shock.
For many people who have genital herpes, the physical symptoms are outweighed by the emotional stress relating to the diagnosis. There are many misconceptions about genital herpes, including the belief that it is associated with promiscuity.
Seeing a counsellor may be a good idea to discuss any concerns you may have. Counselling offers a way of dealing with your concerns.For more information see the NZ Herpes Foundation or talk with one of their trained counsellors on 0508 11 12 13 free call 0508 11 12 13 or 09 433 6526 .
Can Genital Herpes Cause Other Problems
For most women, genital herpes does not usually cause serious health problems.
Women with HIV can have severe herpes outbreaks that are long-lasting. Herpes also may play a role in the spread of HIV. Herpes sores can make it easier for HIV to get into your body. Also, herpes can make people who are HIV-positive more likely to spread the infection to someone else.
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How Do You Get Herpes
The virus can be passed on by:
having any skin-to-skin contact with the infected area
transferring the infection on fingers from someone else to your genitals
sharing sex toys that arenât washed or covered with a new condom each time they are used.
The virus is most infectious when you have blisters, but it can be passed on when someone has no symptoms. This is normally immediately before or after an outbreak.
If you have genital herpes while pregnant you can pass the virus on to your unborn baby. ItÃ¢s important to speak to your healthcare provider as soon as possible.
For more details on herpes in pregnancy read our Ã¢in detailÃ¢ tab.
Genital Herpes Treatment In Pregnancy
You may be offered antiviral treatment:
- to treat outbreaks in pregnancy
- from 36 weeks to reduce the chance of an outbreak during birth
- from diagnosis until the birth if you first get herpes after 28 weeks of pregnancy
Many women with genital herpes have a vaginal delivery. You may be offered a caesarean, depending on your circumstances.
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