Treatment FAQ

how does cold sore treatment work

by Mr. Dalton Feest Published 2 years ago Updated 2 years ago
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If your cold sore is especially painful or irritating, your doctor may prescribe an anesthetic gel to alleviate pain or an antiviral oral medication to speed healing or prevent recurrence. The antiviral medicines available for treatment include acyclovir (Zovirax), famciclovir (Famvir), and valacyclovir (Valtrex).May 17, 2021

How do cold sore medications work?

Cold sore medications, both prescription and OTC, rely on a variety of different active ingredients to offer relief and healing, per Dr. Shainhouse. There are drying agents (Domeboro solution, calamine lotion, zinc oxide, witch hazel), which when dabbed on the sore help dry up the blister and its fluid.

How long does it take to get rid of a cold sore?

It works to block the virus and promises to shorten the ​time you have to deal with any pain, itching, and burning and return your skin back to normal. In some cases, it can help you kick your cold sore to the curb in as little as 2.5 days. It’s recommended for adults and children 12 and over,...

How does the light treatment for cold sores work?

Approved by the FDA, it uses light technology to shorten the life cycle of cold sores. The battery-operated machine delivers invisible light to the affected area, which is then absorbed by the skin. The process helps with healing and may even prevent future outbreaks when used three times daily for two days. Was this page helpful?

What is a cold sore?

Causes: A cold sore is a form of the herpes simplex virus (HSV-1), which is closely related to the herpes virus that causes genital herpes (HSV-2). But don’t be alarmed.

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How does cold sore medicine work?

Prescription Medicines for Cold Sores Oral antiviral drugs work by inhibiting the HSV-1 virus replicating within the body. Once you start taking the medication, the virus is blocked from spreading within your cells. This speeds up recovery and makes it easier for your immune system to fight back against the virus.

How quickly can a cold sore heal with treatment?

It takes 1–2 weeks for cold sores to heal completely. However, according to Harvard Health Publishing, the virus that causes cold sores remains in the person's body throughout their life. HSV may lie dormant for years and cause no symptoms. In some people, the virus will reactivate and cause cold sores.

What heals a cold sore the fastest?

There are antiviral drugs that can help cold sores heal faster, including acyclovir, valacyclovir, famciclovir and penciclovir. If you're having frequent outbreaks or experiencing some of the serious side effects of having a cold sore, your doctor may consider prescribing antiviral medication.

How fast do antivirals work on cold sores?

Valtrex can reduce that time frame significantly. “Patients can feel relief in as little as a few days,” says Breisch. “In some people, it may take up to 10 days for symptoms to resolve, but it all depends on how fast you recognize the outbreak and get started on the medication.”

Can cold sores spread through pillows?

Cold sores are only caught by direct skin contact, with the affected area. They are not caught through sharing cups, cutlery, towels, lipstick, etc.

When can I kiss after a cold sore?

In general, it's best to wait for three to four days after the cold sore scab disappears before you kiss someone or engage in oral sex. This is because the herpes virus can continue shedding in the late stages of a cold sore healing, even if there's no viral fluid present.

Do cold sores mean you have an STD?

Having a cold sore does not necessarily mean you have an STD. Most cold sores are caused by herpes simplex virus type 1 (HSV-1), which usually affects the lips and typically is not transmitted by sexual contact. Though less common, cold sores may be caused by another type of herpes simplex virus called HSV-2.

What triggers a cold sore?

Cold sores are caused by the herpes simplex virus. Once this virus is in you, it can cause outbreaks of cold sores. Cold sore outbreaks are often triggered by exposure to hot sun, cold wind, a cold or other illness, a weak immune system, changing hormone levels, or even stress.

Should you keep a cold sore moist or dry?

As the cold sore resolves itself, keep your lips moist to prevent bleeding, which also aids in the healing at this stage.

Are you still contagious after taking acyclovir?

If you are taking acyclovir for genital herpes, it will not prevent you from passing the infection to your sexual partner.

How do you know if cold sore is healing?

As your scab starts to flake off, there may be some residual swelling in the area. The cold sore is completely healed when the scab and flakiness disappear, leaving healthy skin underneath. Cold sores typically don't leave scars.

Do antivirals weaken immune system?

The inhibitory effects of antivirals on immune cells may contribute to the immune deterioration observed in patients following prolonged use of the drugs.

Does toothpaste help cure cold sores?

A lot of toothpaste brands contain sodium lauryl sulfate (SLS), which can help dry out blisters. But the evidence suggesting that toothpaste can cu...

What kills cold sores naturally?

Cold sores tend to go away on their own, but some home remedies such as the ones listed above might be helpful in treating cold sores naturally.

How do you heal a cold sore quickly?

Cold sores typically go away on their own, but some prescription treatments may help cold sores to go away more quickly. They can include acyclovir...

Diagnosis

Treatment

Self-treatment: Self- care steps that may be helpful in some less- serious cases:
  • Do not lick
  • Use sunscreen
  • Avoid washing your lips with harsh cleansers
  • Choose a healing lip balm or ointment
  • Sleep with humidifier
  • Do not pick or peel
  • Stay hydrated
  • Avoid allergens such as perfumes, dyes etc
See a doctor if you notice:
  • Chapping that doesn't heal, despite regular use of lip balm as it can be a sign of infection or a more serious problem, like cancer or a pre- cancer condition called actinic cheilitis.

Alternative Medicine

Preparing For Your Appointment

  • Your doctor can usually diagnose cold sores just by looking at them. To confirm the diagnosis, your doctor might take a sample from the blister for testing in a laboratory.
See more on mayoclinic.org

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