What Medicine Helps With Genital Herpes

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 Are The Different Types Of Herpes

There are two types of herpes simplex virus: HSV I and HSV II. HSV I commonly causes oral herpes, or cold sores. This virus can show up as an upper respiratory tract infection during early childhood. HSV II is the cause of most cases of genital herpes. However, it is possible for HSV I to cause genital herpes and HSV II to cause oral herpes.

Clinicians cannot tell the difference between the two types by physical examination alone, but there are differences between the two viruses. For example, genital herpes caused by HSV II is much more likely to recur. This diagnosis can be helpful in establishing a health care plan.

Why Is This Medication Prescribed

Acyclovir is used to decrease pain and speed the healing of sores or blisters in people who have varicella , herpes zoster , and first-time or repeat outbreaks of genital herpes . Acyclovir is also sometimes used to prevent outbreaks of genital herpes in people who are infected with the virus. Acyclovir is in a class of antiviral medications called synthetic nucleoside analogues. It works by stopping the spread of the herpes virus in the body. Acyclovir will not cure genital herpes and may not stop the spread of genital herpes to other people.

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What Questions Should I Ask My Doctor

You may want to ask your healthcare provider:

• What is the best treatment for me?
• What happens if I dont treat a cold sore?
• What are the side effects of antiviral medications?
• How can I reduce the risk of future outbreaks?
• Whats the best way to prevent getting another STI?
• How can I protect my partner from getting genital herpes?
• Should I lookout for signs of complications?

What Other Information Should I Know

Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your response to acyclovir.

Do not let anyone else take or use your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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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.

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.

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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:

How Can I Best Learn To Cope With Herpes Simplex

Some people feel distressed or embarrassed about their herpes simplex infection. Its important to understand that the herpes virus is common. For most people, herpes doesnt significantly interfere with daily life.

To cope with negative feelings, you may consider:

• Connecting with others through support groups or online forums.
• Sharing your feelings with a trusted friend or loved one.
• Speaking with a therapist.

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How Our Service Works

• Start an order by selecting the Start order button above.
• Fill in a short questionnaire about your health and lifestyle.
• A Superdrug doctor will check your answers and approve the treatment if its right for you.
• Well then post your order directly to you or you can pick it up the same day at a Superdrug store near you.

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:

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How Should This Medicine Be Used

Acyclovir comes as a tablet, a capsule, and a suspension to take by mouth. It also comes as a delayed-release buccal tablet to apply to the upper gum of the mouth. The tablets, capsules, and suspension are usually taken with or without food two to five times a day for 5 to 10 days, starting as soon as possible after your symptoms begin. When acyclovir is used to prevent outbreaks of genital herpes, it is usually taken two to five times a day for up to 12 months. The delayed-release buccal tablet is usually applied with a dry finger as a one-time dose within 1 hour after itching, redness, burning or tingling cold sore symptoms begin but before the cold sore appears. Take or use acyclovir at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take or use acyclovir exactly as directed. Do not take or use more or less of it or take it more often or for a longer time than prescribed by your doctor.

Do not chew, crush, suck, or swallow the delayed-release buccal tablets. Drink plenty of liquids, if you have a dry mouth while using the delayed-release buccal tablets.

Herpes Treatment With Valaciclovir

Valaciclovir is an antiviral medication, commonly referred to as valacyclovir. It is also available as a branded version called Valtrex. Valaciclovir works by stopping the herpes virus from multiplying and spreading, helping the bodyâs immune system to fight the infection. This reduces the severity of symptoms and helps to speed up the healing process. It takes around 2-3 days for valaciclovir to start working. To treat an outbreak, you should take one 500mg tablet two times a day.

You can also take valaciclovir to lower the chances of having an outbreak. This is useful for those who get more than 6 outbreaks a year and is referred to as suppression therapy. The dose for suppression therapy is one tablet daily. Although it is safe to take valaciclovir daily, you should review treatment with your doctor at regular intervals.

Side effects include stomach upset, dizziness and skin reactions, although not everyone gets them. Valaciclovir may be taken if you are pregnant or breastfeeding under advice of a doctor. You may need monitoring and valaciclovir will usually only be prescribed if the benefits are thought to outweigh the risks.

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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

What Is The Best Medication For Herpes

The effectiveness of a particular medication varies depending on the person, so thereâs no single âbestâ herpes treatment. Doctors prescribe the most suitable drug for each patientâs condition, medical history, and current medications. That said, here are a few of the drugs most commonly used to treat HSV:

This doesnât encompass the full scope of potential side effects, just the most common ones. Anyone considering treatment with one of these medications should speak with a healthcare professional for a more comprehensive list.

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What Medications Are Similar

There are several antiviral medications that are similar to Valtrex but do not have identical approved indications. These include:

• Sitavig and Zovirax : This medication is available as a tablet or a liquid to be swallowed. It is also available in an injectable form to be used for severe HSV infections, including HSV encephalitis . It is also available as a cream for the treatment of cold sores.
• Famvir : This is available as a tablet for the treatment of cold sores, genital herpes, and shingles.

Many other antiviral medications are used for treating different infections. For example, Epivir and Viread are used to treat HIV. Baraclude is used to treat hepatitis B.

Best For Online Consultations: Lemonaid

• Price: $25 for consultation and prescription, cost of medication varies
• Pros: convenient online appointments and medication delivery
• Cons: does not accept insurance for consultations

This telehealth company provides prescription medications for herpes.

People must fill in an online health questionnaire and provide a photo ID. Depending on the state a person resides in, Lemonaid may require a video or telephone consultation with a healthcare professional.

The company offers preventive treatment with a prescription that lasts for 1 year or immediate treatment for current herpes flare-ups.

People can choose home delivery or pick up their medication at a local pharmacy.

However, Lemonaid does not offer genital herpes prescription medications for people using the service for the first time. In this case, users must go to a doctor or gynecologist for an initial diagnosis.

The majority of Lemonaid consultation fees cost a flat rate of $25. This fee does not cover the cost of medication.

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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.

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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Treatment Options + Pricing

If you experience outbreaks often, a daily dose of valacyclovir can prevent them and make it less likely that you’ll pass herpes to partners. If your outbreaks are less frequent you might choose to only take valacyclovir when you feel an outbreak coming on this will lessen the outbreak’s severity and help it heal faster. We bill insurance if you have it, and out-of-pocket prices are detailed below.

*For a 90-day supply of daily valacyclovir the out-of-pocket price is 83 cents per pill.

Can I Be Treated To Prevent Genital Herpes Transmission To My Partner

Yes. A large study showed that if one partner has herpes and the other partner is uninfected, treating the infected partner with suppressive therapy can prevent transmission of symptomatic herpes in over 90% of cases. This is an option for couples who are interested in having unprotected sex or who are planning to become pregnant.

If you are entering into a new relationship and are aware that you have herpes simplex infection, you owe it to your partner to notify them before having sex.

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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.

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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Where Does The Herpes Virus Live In The Body

The herpes simplex viruses are latent, meaning they can live in the body without causing symptoms. After the initial infection, the virus gets into the nerve roots and spreads to the sensory nerve ganglia, the junctions where nerves from different parts of the body come together. For the genital area, the ganglia are adjacent to the spinal cord in the lower back. For orofacial herpes , the ganglia are located behind the cheek bone.

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:

• Hormonal changes
• Reduced immune function

And while herpes viruses might be best known for causing cold sores and genital herpes, theres a whole range of herpes viruses. Different ones are responsible for causing various diseases. These include chickenpox and shingles, eye infections, mono , and more. Classic cold sores and genital herpes are typically caused by herpes simplex virus 1 or herpes simplex virus 2 .

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