Tuesday, September 27, 2022

What Medicine Is Prescribed For Genital Herpes

How Can I Treat Herpes At Home

Describe the New Genital Herpes Therapeutic Vaccine and How it Works

Certain dietary supplementsâlike lysine, vitamin C, zinc, and probioticsâcan help support your immune system and prevent or shorten outbreaks. Once an outbreak has begun, applying cold compresses, licorice root extract, lemon balm oil, manuka honey, or garlic can reduce its severity and provide symptom relief.

Acyclovir May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:

  • upset stomach
  • numbness, burning, or tingling in the arms or legs
  • temporary inability to move parts of your body
  • shaking of a part of your body that you cannot control
  • seizures
  • loss of consciousness

Acyclovir may cause other side effects. Call your doctor if you have any unusual problems while you are taking or using this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .

Can You Test For Herpes At Home

Yes, there are at-home sexually transmitted infection tests for herpes.

LetsGetChecked is a health and diagnostic company that offers home laboratory testing services. The home Herpes Test checks for HSV-1 and HSV-2 by taking a blood sample from your finger.

Read more about at-home herpes tests here.

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Protecting Your Partner And Preventing Herpes Transmission

Research shows that the single greatest fear is the fear of transmission to partners, says Dr. Handsfield.

The main ways to avoid transmitting herpes are:

  • Learn to recognize how you feel when an outbreak is on the way, and stop having sex immediately.
  • Dont have sex during active outbreaks.
  • Always use condoms but dont rely on them during outbreaks. They dont completely cover infectious areas.
  • Only after all sores have scabbed over and healed should you have sex again.
  • Avoid touching your herpes sores, because you can spread them to other places on your body that way. Whenever you touch a sore, wash your hands immediately.
  • Dont kiss people or have sex if you have a cold sore.
  • Tell potential partners about having herpes before having sex with them, even though it may be hard.
  • Ask your doctor about taking antiviral drugs regularly.

Treatments For Genital Herpes

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There is no cure for genital herpes or HSV-2. Many people use creams, medications, home remedies, and light therapy to lessen pain and manage outbreaks. Those with less severe outbreaks often choose to let the blisters heal on their own and go away. Light therapy is showing early success limiting pain and reducing viral load in initial peer-reviewed clinical research, summarized below.

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Home Remedies And Lifestyle

At-home treatments for a cold sore or genital herpes can relieve symptoms. However, it can not cure the infection. To ease the pain and prevent sores from getting worse, try the following:

  • Apply cold compresses. Place a well-insulated ice pack on your lesions for as long as it makes you feel better. The cold will not worsen or improve the lesion, but it can lessen the pain.
  • Don’t scratch. Avoid touching and rubbing lesions caused by herpes. Doing so can spread the infection to other areas of your skin.
  • Keep the sores clean. Cold sores and genital herpes infections can become infected with bacteria from your hands or, in the latter case, from urine or feces. Therefore, keep the sores and blisters and the areas around them clean and dry to avoid an additional infection.
  • Reduce stress. Stress can affect how well your immune system can keep your herpes infection in check. Therefore, reducing your stress may help prevent excessive herpes recurrences.

How To Use Famciclovir

Read the Patient Information Leaflet if available from your pharmacist before you start taking famciclovir and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food, usually 2 to 3 times a day or as directed by your doctor.

This medication works best when started at the first sign of an outbreak, as directed by your doctor. It may not work as well if you delay treatment.

The dosage is based on your medical condition and response to treatment.

This medication works best when the amount of drug in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals. To help you remember, take it at the same times each day.

Continue to take this medication until the full prescribed amount is finished. Do not change your dose, skip any doses, or stop this medication early without your doctor’s approval.

Tell your doctor if your condition persists or worsens.

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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.

If You Have Genital Herpes Already Can It Be Spread To Other Parts Of The Body Such As The Arms Or Legs

Can Over The Counter Medicines Also Be The Cure For Herpes Non Prescribed Herpes Medication

No. Genital herpes cannot be transmitted to another part of your body such as your arm, leg or hand after the first infection occurs. If you have genital HSV II, you will not get HSV II at another site in your body. The immune system produces antibodies that protect other parts of your body from infection. However, there are cases where a person has multiple site infections from the same virus. This is usually acquired at the time of the first infection. For example, if someone has never had herpes but then has oral and genital sex with an infected partner, they can acquire the infection at both sites.

Read Also: What To Do If Your Partner Has Herpes

How Is Genital Herpes Diagnosed

If you have a herpes sore, your dermatologist can often diagnose you by looking at the sore and taking a swab from the sore. A lab test can tell whether the sore contains the herpes simplex virus , which is what causes genital herpes.

If you dont have a sore or any symptoms, the Centers for Disease Control doesnt recommend testing for most people. You can learn whether you should be tested if you dont have symptoms at:

Read Also: What Do You Do If You Think You Have Herpes

Is There An Over

Yes, but OTC medications are generally less effective in treating herpes than prescription ones. Abreva is an over-the-counter topical drug that many people use to treat cold sores from HSV-1, but not HSV-2. NSAIDs like ibuprofen and Tylenol are OTC drugs that reduce pain and discomfort, but they do not treat herpes directly.

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Can You Buy Acyclovir Over The Counter

When youve got a herpes breakout, you want to heal as quickly as possible. And whilst some treatments are available over-the-counter, others require a prescription.

In the U.S., you cannot buy acyclovir cream or ointments over-the-counter. The only topical treatment approved for over-the-counter sales is Abreva which contains docosanal as its active ingredient.

The following medications require a prescription form a doctor or an online consultation:

  • Acyclovir cream/ointments

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Get Genital Herpes Treatment

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With our same-day genital herpes treatment service, you can meet with an online doctor and get treated within minutes. Instead of going to your doctor in person you can conveniently meet with a top PlushCare doctor online and get diagnosed and prescribed any necessary medication.

Genital Herpes is a virus that is sexually transmitted and very common. About 20% of the US adult population has the infection, but many people have no symptoms and dont know they have it. Genital herpes can be diagnosed with simple testing, and while there is effective treatment, there is no known cure for the disease.

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Avoid The Following While You Are Using Acyclovir Buccal Delayed

  • Do not chew gum, touch, or press the buccal tablet after it has been applied.
  • Do not wear upper dentures.
  • Do not brush your teeth until it dissolves. If your teeth need to be cleaned while the tablet is in place, rinse the mouth gently.

Shake the suspension well before each use to mix the medication evenly.

Your symptoms should improve during your treatment with acyclovir. Call your doctor if your symptoms do not improve or if they get worse.

Take or use acyclovir until you finish the prescription, even if you feel better. If you stop taking acyclovir too soon or skip doses, your infection may not be completely treated or may become more difficult to treat. The delayed-release buccal tablet is applied as a one-time dose.

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. It’s 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 don’t 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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Education Is An Integral Part Of Herpes Treatment

If you have genital herpes, its important for you to get educated about herpes and have the opportunity to ask questions in a supportive environment.

Becoming informed will help you learn to cope with the illness. It will also help you prevent sexual transmission of the illness, or transmission to an infant during a pregnancy.

Herpes has a tremendous psychosocial overlay. But knowledge about it and understanding about how well it can be managed can reduce that, says Handsfield.

Your doctor may be able to provide you with all the information you need, or you may choose to seek counseling from a mental health professional or at a clinic that specializes in sexual health, such as Planned Parenthood.

If you have a regular sexual partner, that person should also have the chance to learn about herpes and ask any questions they may have about it.

Antiviral Medicine Can Be Taken Daily

Herpes virus treatment

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 To Get Rid Of Genital Herpes Fast: Is It Possible

The herpes simplex virus type 2, better known as genital herpes, is a sexually transmitted infection without a known cure. Although its not yet possible to permanently get rid of genital herpes, a number of techniques are proven to speed up the recovery of an outbreak and reduce unwanted symptoms.

You may recognize a genital herpes outbreak by the appearance of blisters and lesions. Most people experience their first outbreak two to 12 days after initial exposure to the virus. After the blisters break, it may take up to four weeks for herpes ulcers to heal.

After the first outbreak, recurring outbreaks are common but dont last nearly as long. Sores tend to heal within three to seven days in recurring outbreaks, and the number of outbreak periods may even decrease over time.

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.

Having herpes can make it easier to get HIV, because the sores give HIV an open pathway into your body. So always use condoms to help prevent the spread of both herpes and HIV.

Recommended Reading: Can You Get Rid Of Herpes Simplex

Read Also: What Triggers Herpes Simplex 1 Outbreaks

Genital Herpes During Pregnancy

Prevention of neonatal herpes depends both on preventing acquisition of genital herpes during late pregnancy and avoiding exposure of the neonate to herpetic lesions and viral shedding during delivery. Mothers of newborns who acquire neonatal herpes often lack histories of clinically evident genital herpes . The risk for transmission to the neonate from an infected mother is high among women who acquire genital herpes near the time of delivery and low among women with prenatal histories of recurrent herpes or who acquire genital herpes during the first half of pregnancy . Women who acquire HSV in the second half of pregnancy should be managed in consultation with maternal-fetal medicine and infectious disease specialists.

All pregnant women should be asked whether they have a history of genital herpes or genital symptoms concerning for HSV infection. At the onset of labor, all women should be questioned thoroughly about symptoms of genital herpes, including prodromal symptoms , and all women should be examined thoroughly for herpetic lesions. Women without symptoms or signs of genital herpes or its prodrome can deliver vaginally. Although cesarean delivery does not eliminate the risk for HSV transmission to the neonate , women with recurrent genital herpetic lesions at the onset of labor should have a cesarean delivery to reduce the risk for neonatal HSV infection.

Acyclovir 400 mg orally 3 times/dayORValacyclovir 500 mg orally 2 times/day

Should I Take Antiviral Pills For My Herpes

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Reasons for choosing short course/episodic treatment:

Reasons for choosing suppression/prophylactic/long-term treatment:

See section above for the dosing.

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.

Beware: Many other websites advertise fake treatments or even cures. They may include testimonials and statements by people who claim to be doctors. They are scams. Do not be fooled.

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What Is Life Like For Someone Who Has Genital Herpes

The virus that causes genital herpes stays inside your body forever. While many people carry this virus, some dont know that they have it because they never have an outbreak.

If you have an outbreak, taking an antiviral medicine can shorten the outbreak and relieve symptoms. Some people have several outbreaks. For most people, the outbreaks become less severe and occur less often with time.

Anyone who has been infected with the virus, however, can spread the virus to others during sex. Even if you never have an outbreak, you can still spread the virus.

Related AAD resources

Centers for Disease Control. Genital Herpes – CDC Fact Sheet . Last accessed December 19, 2016.

Fatahzadeh M and Schwartz RA. Human herpes simplex virus infections: Epidemiology, pathogenesis, symptomatology, diagnosis, and management. J Am Acad Dermatol 2007 57:737-63.

Madkan V Sra K, et al. Human herpesviruses. In: Bolognia JL, et al. Dermatology. . Mosby Elsevier, Spain, 2008:1075-6.

Marques AR, Straus SE, Herpes simplex. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 1199-1204.

US Preventive Task Force. Serologic screening for genital herpes infection: US Preventive Services Task Force recommendation statement. JAMA. 2016 316:2525-30.

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