Medicine To Treat Herpes Outbreak

How Is Herpes Diagnosed

The herpes virus is almost always spread through sexual intercourse, oral sex, or kissing. Although sometimes HSV-1 can spread via shared lip balm, utensils, or other items that come in contact with saliva.

In most cases, healthcare providers can diagnose herpes with a visual examination and by discussing various symptoms. If theres any doubt, they can take a viral culture to confirm, which involves lab analysis of a swab or scraping.

If the patient has no history of herpes simplex and is a new patient, I always do a viral culture, says , MD, a board-certified dermatologist and founder of 5th Avenue Aesthetics. Also, if I am suspicious of HSV-2 or if it is an immunocompromised patient, I will order a viral culture. I start treatment right away before results come back. These results can take one week and it is best to start treatment early.

But again, symptoms arent always present. Fortunately, its also possible to diagnose HSV with a blood test. Your body produces antibodies to combat viruses, and doctors can use a blood sample to detect the specific antibodies that fight the herpes simplex virus.

A primary care physician can perform the examinations and tests necessary for an accurate diagnosis. However, sexual health clinics offer similar, reliable services.

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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.

What Is The Best Genital Herpes Treatment

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The best genital herpes treatments are aciclovir and valaciclovir. Studies show that they help to reduce viral transmission by 75 – 90%. They can both be taken during an outbreak to help reduce the severity of a flare up. Alternatively, they can be taken daily to reduce the chances of getting an outbreak.

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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.

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What Are The Symptoms Of Herpes Simplex

Many people with the infection never experience any herpes symptoms. If you do notice symptoms, youll experience them differently depending on whether youre having your first herpes outbreak or a repeat outbreak. Recurring symptoms are usually milder than the first outbreak. Symptoms dont last as long with later outbreaks. Some people may only have one or two outbreaks during their lifetime. Others may have as many as four or five outbreaks a year.

People who do have herpes symptoms may experience:

• Cold sores around their lips, mouth or tongue. They may look crusty or like fluid-filled blisters.
• Tingling, itching or burning.
• Pain while urinating.

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

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How Often Do Outbreaks Occur

The number of outbreaks someone has varies from person to person. The average number of outbreaks for a person with genital HSV-2 is four to five per year. The average for genital HSV-1 is less than one outbreak per year.

Usually, there are more outbreaks during the first year, and many people find that outbreaks become less severe and less frequent with time.

Herpes triggers are highly individual, but with time, many people learn to recognize, and sometimes avoid, factors that seem to reactivate HSV in their own bodies. Illness, poor diet, emotional or physical stress, friction in the genital area, prolonged exposure to ultraviolet light , surgical trauma, and steroidal medication may trigger a herpes outbreak.

The frequency of outbreaks can often be managed through effective stress management, and getting adequate rest, nutrition, and exercise. For people with frequent outbreaks, suppressive therapy with any one of the antiviral treatments can reduce outbreaks by as much as 80%.

How Do Other Antivirals Work

Antivirals are medications used in the treatment and prevention of various types of viral infections. Other antivirals are medications that are not categorized into any specific classes of antivirals. Most of the other antivirals block viral replication by interfering with DNA polymerase, an enzymevital for DNA synthesis and viral replication.

Some of the other antivirals are active drugs that directly take effect, while some are prodrugs, which release the active form of the drug after being metabolized. Other antivirals include the following:

• Acyclovir: Acyclovir is an active drug effective against herpes simplex virus 1 and 2 that cause genital and oral herpes, and varicella-zoster virus which causes chickenpox and shingles. Acyclovir gets incorporated into the viral DNA, inhibits DNA polymerase, and terminates the DNA chain to prevent viral replication.
• Brincidofovir: Brincidofovir is a prodrug approved for treating human smallpox, a disease caused by the variola virus. Although smallpox has been eradicated with vaccination, concerns that the variola virus can be used as a bioweapon remain.
• Brincidofovir penetrates cells and releases cidofovir which is metabolized to produce cidofovir diphosphate, the active drug that selectively inhibits orthopoxvirus DNA polymerase-mediated viral DNA synthesis and reduces the rate of viral DNA synthesis.

• Herpes zoster infection , which is caused by reactivation of VZV

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How And When To Use It

Always read the instructions that come with your medicine first.

Wash your hands before and after using the ointment, gel or liquid.

Ointment, gel, liquid or spray for mouth ulcers

After 3 hours you can use it again, if you need to.

Gel for teething

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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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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 .

What Is Neonatal Herpes

Neonatal herpes can be a very serious infection. Babies generally contract the virus from their birthing parent during childbirth even if the parent doesnt have active lesions. They may also get HSV-1 if an adult with an active cold sore kisses them. Breastfeeding babies can also get HSV-1 from the breast if there are lesions present. But babies cant get herpes from breast milk, so its safe to pump and feed.

Herpes simplex can be more dangerous for young babies because they dont have a fully developed immune system. But most babies with neonatal herpes can recover fully with treatment.

The dangers of neonatal herpes are much higher if the infection spreads to the babys organs. If youre pregnant and have herpes, speak with your healthcare provider about how to lower the risk of passing the infection to your baby.

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Which Herpes Medication Is Best

In the war between valacyclovir vs. acyclovir vs. famciclovir, the truth is, there is no best herpes medication. All three of the drugs are safe and proven to be effective as treatments for HSV-1, HSV-2, shingles and other forms of the herpes virus.

If you think you might have herpes, the best approach is to speak to your doctor about treatment options. Your doctor will be able to provide advice on the most effective drug for treating herpes based on your symptoms, immune system, lifestyle and overall health.

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standardshere.

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Why You Should Go To A Sexual Health Clinic

You can see a GP, but they’ll probably refer you to a sexual health clinic if they think you might have genital herpes.

Sexual health clinics treat problems with the genitals and urine system.

Many sexual health clinics offer a walk-in service, where you do not need an appointment.

They’ll often get test results quicker than GP practices and you do not have to pay a prescription fee for treatment.

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What Are The Symptoms Of A Bleeding Ulcer

Bleeding ulcers dont always cause pain. Sometimes the first signs of a bleeding ulcer are signs of anemia. These include:

• Dizziness or lightheadedness.

You might have a heavier bleed if you notice:

• Blood in your poop, or black poop that resembles tar.

These symptoms require urgent medical attention.

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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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When To Call A Doctor

Check in with your doctor or healthcare provider if you notice or experience any of the following:

• Worsening outbreak symptoms in spite of medicine or proper management
• Sores that do not heal after 2-4 weeks
• Frequent outbreaks
• An outbreak during pregnancy

If you have never had genital herpes before, see a medical provider for an accurate diagnosis and treatment options.

Subsequent outbreaks of herpes do not always require medical care unless you notice any complications, problems healing, or become pregnant.

While there is no cure for genital herpes, a medical provider can recommend OTC and other treatments that may speed the healing time of sores, reduce the frequency of outbreaks, and relieve discomfort.

Genital herpes may feel like an embarrassing problem, but you deserve to be comfortable.

A medical doctor will not shame you, but will help you to get proper care and find relief.

You can even chat with a K Health doctor right in the app, without leaving your home.

Conditions Hydrocortisone Creams Cannot Treat

Hydrocortisone is not useful as a treatment for hives . This is because hives are caused by histamines, not skin inflammation.

Histamines are chemicals produced by the immune system in response to allergens, which are allergy-causing substances. An overreaction can sometimes cause a rash.

In this case, an oral antihistamine may be the best treatment choice. At the same time, hydrocortisone cream may be prescribed to relieve itchiness and swelling.

Hydrocortisone cream has its limits. Don’t count on it to relieve:

• Acne. In fact, the cream could make it worse.
• Broken skin, including blisters, boils, ulcers, or chancre sores.
• Rosacea and impetigo. The cream can upset both conditions.

The point should be clear: Using hydrocortisone cream on these problems would be a little like using a shop vac on a small kitchen fire. It’s a fine tool but the wrong one for the job.

You may use hydrocortisone cream on children. But be careful, especially with infants and toddlers. Speak with your pediatrician before using hydrocortisone cream to treat eczema or diaper rash. Other products may be gentler and work just as well on little ones.

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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.

What Happens At A Sexual Health Clinic

The doctor or nurse at the sexual health clinic will:

• ask about your symptoms and your sexual partners
• use a small cotton bud to take some fluid from 1 of your blisters or sores for testing

The test cannot:

• be done if you do not have visible blisters or sores
• tell you how long you have had herpes or who you got it from

Symptoms might not appear for weeks or even years after you’re infected with the herpes virus.

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