Pain Medication For Genital Herpes

How Effective Are Medications For Herpes

Prescription antiviral medications have proven effectiveness in managing HSV symptoms.

A 2017 study comparing the antiviral medications acyclovir, famciclovir, penciclovir and valacyclovir to treat herpes simplex labialis found all antiviral medications were effective to shorten healing time for lesions and reducing pain. The comparison study found valacyclovir had the fastest healing time and pain reduction.

Antiviral Medicine Can Be Taken Daily

For some people, taking an antiviral medicine every day works best because they have:

• Frequent outbreaks

• A partner who doesnt have the virus

Frequent outbreaks

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.

One Option For Ongoing Therapy: Taking Drugs Regularly

Some people with genital herpes choose to take antiviral medication daily to reduce the number of symptom outbreaks they have. In some cases, daily therapy prevents outbreaks completely.

Numerous studies over the years have demonstrated the safety and effectiveness of all three of the approved antivirals used to treat genital herpes.

Studies have also shown that daily antiviral therapy reduces the rate of transmission from an HSV-2 infected person to an uninfected partner of the opposite sex.

Daily therapy also lowers the odds of infecting other people if you have multiple sex partners or if you are a man who has sex with men.

The drugs work both for people who have had herpes symptoms and for those whose blood tests show they have an HSV-2 infection but who have never had symptoms.

Some people choose to take antiviral drugs only as needed, for outbreaks that occur after the first one. For this to work, you need to start taking the medicine within one day of sores cropping up or during the time period that comes before some outbreaks.

During the prodrome, you may feel

• Burning in the area where the virus first entered your body
• Itching or tingling in that area
• Pain in your back, buttocks, thighs, or knees

Your doctor will probably give you a prescription you can fill and keep handy for timely use, and tell you to start taking the drugs just as soon as symptoms begin.

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How Effective Is Herpes Medication

Antiviral herpes medication will not cure oral or genital herpes infections. However, suppressive therapy significantly ameliorates its symptoms. The Centers for Disease Control and Prevention determined that this treatment can reduce genital herpes outbreaks by 70%-80% in patients that frequently experience them.

What Helps Herpes Sores Heal Faster

Keeping the sores clean, cool, and dry is beneficial to the healing process. Bandaging, heating, or picking at sores will irritate them and can extend their duration. The most effective method for shortening herpes outbreaks is a prescription antiviral medication like valacyclovir, famciclovir, or acyclovir.

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Herpes Medication: Treatment And Drug Information

Herpes is a common, lifelong viral infection that affects nearly half of American adults under the age of 50.

Most infected individuals do not develop herpes symptoms at all, but for some people, herpes infections can cause painful sores, blisters, or lesions, often on the mouth or genitals.

People who carry the herpes virus can spread it to others through close, direct, and intimate contact.

In this article, Ill review the medications that doctors use to treat both oral and genital herpes.

These include the oral antiviral medications acyclovir , valacyclovir , and famciclovir .

Ill discuss how long it typically takes for these treatments to work, as well as the various dosages available with these treatments.

Ill examine the different kinds of herpes strains and look at the major side effects of herpes medications.

Finally, Ill discuss when to see a doctor if you think you may be experiencing a herpes breakout. .

How Long Does It Take For The Medication To Work

All antiviral herpes medications begin to work quickly, which is why they should be taken as close as possible to the first emergence of symptoms.

This will give the medications the best chance to reduce the severity of the outbreak, and to speed up the resolution of an outbreak .

When taken within the first three days of an initial genital herpes outbreak, antiviral medications can shorten the lifespan of the outbreak by two to four days.

During later occurrences, these medications can shorten the lifespan of these outbreaks by 1-2 days.

Many people with HSV-2 do not experience regular genital herpes outbreaks.

But for people who do experience several episodes per year, preventative treatment can make a big difference.

In clinical studies, many patients who begin daily preventative treatment, go on to experience zero genital herpes outbreaks over the course of the following year.

Preventative antivirals can even help those patients who experience especially frequent and painful outbreaks of genital herpes.

In one study of this population, for instance, preventative antivirals were shown to reduce the average number of yearly outbreaks from 11 to 2.

Its important to remember, though, that none of these medications can completely cure herpes or eliminate the HSV virus from the body.

While preventative medicines, especially, can make it less likely that youll pass on the infection to sexual partners, it cannot completely eliminate this risk.

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Expect The First Outbreak To Be The Worst

Remember that although herpes lasts a lifetime, the first outbreak typically causes the most pain, while later outbreaks tend to be much milder.

You will always have herpes, and the sores will come and go, but you can decide not to treat the current outbreak. If its not that unpleasant or uncomfortable, some patients will do that, says Gade.

Some people never have symptoms after the first outbreak, according to the Cleveland Clinic.

Suppressive Therapy For Recurrent Hsv

Suppressive therapy reduces frequency of genital herpes recurrences by 70%80% among patients who have frequent recurrences . Persons receiving such therapy often report having experienced no symptomatic outbreaks. Suppressive therapy also is effective for patients with less frequent recurrences. Long-term safety and efficacy have been documented among patients receiving daily acyclovir, valacyclovir, and famciclovir . Quality of life is improved for many patients with frequent recurrences who receive suppressive therapy rather than episodic treatment . Providers should discuss with patients on an annual basis whether they want to continue suppressive therapy because frequency of genital HSV-2 recurrence diminishes over time for many persons. However, neither treatment discontinuation nor laboratory monitoring is necessary because adverse events and development of HSV antiviral resistance related to long-term antiviral use are uncommon.

Valacyclovir 500 mg orally 2 times/day for 3 daysOR

Valacyclovir 1 gm orally once daily for 5 days

*Acyclovir 400 mg orally 3 times/day is also effective, but are not recommended because of frequency of dosing.

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Are There Side Effects From Treating Genital Herpes With Antiviral Drugs

Antiviral drugs are very well-tolerated by most people because they target the virus, not healthy cells. Side effects are rare. Specialist guidelines state that regular kidney function tests for people taking aciclovir long-term are no longer required. The drug has now been used for without problem for over thirty years treating genital herpes. It can be used in pregnancy, indeed it is even recommended that women take it from week 36. See our pregnancy page.

What You Need To Know

• Herpes simplex virus , also known as genital herpes, is most likely to be spread when an infected person is having an outbreak, but it can also be transmitted without any symptoms being present.
• Medications can help reduce your symptoms, speed up the healing of an outbreak and make you less contagious.
• If you know you have genital herpes before becoming pregnant, your physician will monitor your condition throughout your pregnancy. If you have an active outbreak at the time of delivery, cesarean section may be recommended.

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How Has My Partner Caught Genital Herpes

If your partner has only just been diagnosed with genital herpes, this does not necessarily mean that they have been unfaithful to you or sexually promiscuous in the past.

• Your partner may have caught genital herpes from you. You can carry the virus without knowing you have it as some people have no symptoms.
• It is also possible that your partner caught the virus from a cold sore on your mouth or face during oral sex. You can pass the virus on even if you dont have a cold sore at the time of contact.
• Your partner may have contracted the virus from a previous sexual partner, even several years ago. The virus can remain inactive in your body for long periods.

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Genital Herpes Symptoms In Women

Genital herpes symptoms occur in outbreaks that come and go.

The primary symptom is blisters that pop and become ulcers. When they first appear, they are usually small red bumps that can be subtle and easy to overlook. When the blisters pop, they can be very painful.

Some people get a tingling or burning sensation where herpes sores are about to develop. This is called a prodrome, which is an early sign of a disease or infection.

When you do have an outbreak, the blisters or ulcers can appear in several areas of the body, including:

• Female genitals

• Itching or burning in the affected area
• Pain in the affected area
• Feeling of fullness in the abdomen
• Unusual vaginal discharge

Some people may not have an outbreak, others have only one outbreak, and others will have repeated outbreaks .

Even if you have had no symptoms for years, you can still transmit the virus, though its less contagious when you are asymptomatic.

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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.

What Stands Out About Yale Medicines Approach To Genital Herpes

As an academic medical center, Yale Medicine provides a wide range of treatment options for patients. Our doctors are expert at diagnosing and treating difficult cases and helping manage the condition for people at risk, such as pregnant women. Our doctors have access to the most advanced technology for diagnosing herpes and other medical conditions.Also, our researchers continue to look for new information about the herpes virus.

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Drug Treatment For Genital Herpes

If you are infected with genital herpes, your doctor may prescribe oral antiviral drugs to help ease your symptoms during both a first episode and recurrent episodes. Your doctor may also suggest taking antiviral drugs daily as a suppressive therapy to reduce symptoms and protect partners.

Remember, though, that antiviral drugs do not wipe out the virus completely. It continues to live in your body, so if you stop taking the drugs that suppress it, you may have more frequent or more intense symptom outbreaks, and the risk of your transmitting the virus to others rises.

Three antiviral drugs, all taken by mouth, are used to treat genital herpes:

Is There A Cure Or Treatment For Herpes

Theres no cure for the herpes virus yet. A herpes vaccine doesnt currently exist, as the herpes virus has more complicated DNA than most infections, creating challenges for researchers.

However, medication can help with symptoms, like sores, and outbreaks. Medication also lowers the risk of transmission to others. You can take most medications for herpes orally, though you may also apply some as a cream or receive them by injection.

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What Happens If You Leave Herpes Untreated

According to the CDC , genital herpes can lead to painful sores, which can be worse in people with weaker immune systems. A person may also spread the virus to other parts of their body.

In pregnant people, herpes may lead to miscarriage or make early delivery more likely. A person can also pass herpes on to their baby before or during birth. This can cause neonatal herpes, which can be fatal.

Pregnant people with herpes may need to receive herpes treatment toward the end of their pregnancy and have a cesarean delivery if they have herpes symptoms when they give birth.

It is important that people speak with a doctor about treating herpes.

Coconut Oil For Genital Herpes

Besides being great for cooking, coconut oil can provide some significant health benefits. In some cultures, the coconut tree is even referred to as the tree of life. Clinical studies on coconut oil and its components have even backed some of these benefits:

Not enough evidence exists yet on coconut oil for genital herpes to prove that it directly treats herpes lesions however, its many beneficial qualities may soothe irritated skin around outbreaks and moisturize dry herpes scabs.

Monolaurin, a coconut-oil-derived fatty acid, has also shown some promise as a natural treatment for genital herpes.

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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 .

How Do You Get Herpes

The virus can be passed on by:

• having any skin-to-skin contact with the infected area

• vaginal, or oral sex without a condom or dental dam

• 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. Itâs important to speak to your healthcare provider as soon as possible.

For more details on herpes in pregnancy read our âin detailâ tab.

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Can Herpes Be Prevented Or Avoided

The best way to prevent getting herpes is to not have sex with anyone who has the virus. It can be spread even when the person who has it isnt showing any symptoms. If your partner has herpes, there is no way of knowing for sure that you wont get it.

There is no time that is completely safe to have sex and not spread herpes. If you have herpes, you must tell your sex partner. You should avoid having sex if you have any sores. Herpes can spread from one person to another very easily when sores are present.

You should use condoms every time you have sex. They can help reduce the risk of spreading herpes. But its still possible to spread or get herpes if youre using a condom.

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How Does Genital Herpes Affect Pregnancy

Herpes simplex virus doesnt affect fertility or your ability to conceive. Pregnant women diagnosed with HSV-2 should start a daily antiviral at 36 weeks of pregnancy as prescribed, to prevent outbreaks during delivery. If you have an active infection at the time of childbirth, you can pass the herpes virus to your baby. Neonatal herpes puts a baby at risk for blindness, brain damage, skin infections and death. Your healthcare provider will perform a cesarean section to lower this risk.

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Herbs Supplements And More For Genital Herpes

Scientists have studied herbal extracts and nutritional supplements based on some herpes patients claims that they help relieve symptoms. Some study results have been promising, others discouraging.

Many people say that an extract of the echinacea plant helps boost the immune systems ability to fight infection. Some say it decreases the frequency and severity of genital herpes outbreaks. Researchers in the U.K. compared the effect of echinacea with that of a placebo. They gave echinacea to 50 people with genital herpes for six months and a placebo for another six months. There was no significant difference in the number of herpes outbreaks during the two periods.

Another study showed that an ointment containing propolis, a waxy substance that honeybees make, may help herpes sores heal. Sores healed faster for people using the propolis ointment than in those using ointments containing the antiviral drug acyclovir or a placebo. The ointment was applied to herpes sores four times a day. After 10 days, 24 of the 30 people using propolis ointment said their sores healed, compared with 14 of the 30 people using acyclovir ointment and 12 of the 30 using a placebo.

Researchers have also found that the herb Prunella vulgaris, and an edible mushroom, Rozites caperata , contain chemicals that fight both HSV-1 and HSV-2.