Treatment FAQ

what are my treatment options for herpes

by Dr. Caterina Sawayn Published 2 years ago Updated 2 years ago
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There are three major drugs commonly used to treat genital herpes symptoms: acyclovir (Zovirax), famciclovir (Famvir), and valacyclovir (Valtrex). These are all taken in pill form. Severe cases may be treated with the intravenous (IV) drug acyclovir.Aug 30, 2020

Medication

Genital Herpes Management Recurrent HSV-2 Genital Herpes. Almost all persons with symptomatic first-episode HSV-2 genital herpes subsequently... Suppressive Therapy for Recurrent HSV-2 Genital Herpes. Suppressive therapy reduces frequency of genital herpes... Severe Disease. Intravenous (IV) ...

Self-care

Prescription antiviral medicines approved for the treatment of both types of herpes simplex include: Acyclovir Famciclovir Valacyclovir

Nutrition

Medications can reduce the rate of herpes outbreaks. Some of the available methods include anti-viral drugs, supplements, herbs, and alternative or complimentary therapies. Suppressive therapy or daily medication such as Fenvir, is recommended for individuals who experience frequent outbreaks.

What is the best over the counter treatment for herpes?

 · Commonly prescribed pharmaceuticals for herpes include Acyclovir (Zovirax), Famcyclovir (Famvir), and Valacyclovir (Valtrex). Pharmaceuticals can help with an outbreak once you have it, but they cannot make the outbreak just “go away.” Once an outbreak has begun, it has to run its course.

How to get rid of genital herpes quickly?

taking a warm bath keeping your genital area dry (moisture makes the sores last longer) wearing soft, loose clothes putting an ice pack on the sores taking a pain reliever like aspirin, ibuprofen (Advil, Motrin), or acetaminophen (Tylenol). How can I prevent herpes outbreaks?

Which is the actual cure for herpes?

 · A hot or cold compress may ease the pain and itchiness of a herpes lesion. Applying heat to the area around the lips can also stop blisters from forming during an oral herpes infection. A cold...

Do herpes go away without treatment?

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What is the most effective treatment for herpes?

Intravenous acyclovir remains the most effective form of treatment for a primary genital herpes infection, leading to significant reduction in time to cessation of viral shedding and pain.

What is the latest treatment for herpes?

There is currently no cure or preventive treatment for the herpes infection. If a person gets either form of herpes virus infection, they will have it for life , whether or not they experience symptoms.

Can herpes be treated but not cured?

There is no cure for genital herpes. However, there are medicines that can prevent or shorten outbreaks. A daily anti-herpes medicine can make it less likely to pass the infection on to your sex partner(s).

Should I take antivirals daily for herpes?

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.

How far away is a cure for herpes 2021?

It will still take a long time before these experiments lead to the first human trials of gene therapy to cure herpes. Jerome estimates that will be at least three years away. Herpes simplex viruses afflict billions of human beings around the globe.

Is there a cure for herpes 2021?

Genital Herpes Treatment and Care There is no cure for genital herpes. However, daily use of antiviral medicines can prevent or shorten outbreaks. Antiviral medicines also can reduce the chance of spreading it to others.

What triggers herpes outbreaks?

Triggers for recurrence — Illness, stress, sunlight, and fatigue can trigger recurrent herpes outbreaks. In women, menstrual periods may trigger an outbreak. When did I become infected? — The first time a person has noticeable signs or symptoms of herpes may not be the initial episode.

Is herpes contagious forever?

Remember that genital herpes is a lifelong disease. Even though you may not have a genital herpes outbreak for long periods of time, you can still pass the virus to another person at any time. Talk with your doctor or nurse about how to prevent passing the virus to another person.

What happens if herpes goes untreated?

The possible complications include vaginal yeast infections (“thrush”), bladder problems with trouble urinating, and – in rare cases – meningitis. Complications are very rare in later outbreaks. People who have genital herpes are at greater risk of being infected with other sexually transmitted infections such as HIV.

Can you donate blood if you have herpes?

Yes, you can donate blood even if you have herpes — but only if you're not having an outbreak of symptoms and if it's been more than 48 hours since you finished an antiviral treatment.

Is Valtrex worth taking?

“Valtrex is truly the only cold sore medication that will act fast and diminish your pain and blisters within days You will start feeling relief in hours. No other cold sore medication can compete. The only downside is you have to get a prescription for it. Depending on your insurance it could be fair to pricey.

What happens if you take Valtrex everyday?

A new study shows that daily therapy with the antiviral drug Valtrex significantly lowers the risk of transmitting genital herpes among heterosexual couples in which one partner is infected with the herpes simplex virus type 2 (HSV-2).

What antiviral medication is used for herpes?

Randomized trials have indicated that three FDA-approved antiviral medications provide clinical benefit for genital herpes: acyclovir, valacyclovir, and famciclovir ( 463 – 471 ). Valacyclovir is the valine ester of acyclovir and has enhanced absorption after oral administration, allowing for less frequent dosing than acyclovir. Famciclovir also has high oral bioavailability. Topical therapy with antiviral drugs offers minimal clinical benefit and is discouraged.

How does suppressive therapy help with herpes?

Suppressive therapy reduces frequency of genital herpes recurrences by 70%–80% among patients who have frequent recurrences ( 469 – 472 ). 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 ( 474 ). Quality of life is improved for many patients with frequent recurrences who receive suppressive therapy rather than episodic treatment ( 475 ). 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.

Can suppressive therapy be used for genital herpes?

For persons with symptomatic HSV-1 genital herpes or asymptomatic HSV-2 genital herpes, suppressive therapy can be considered for those who have substantial psychosocial distress caused by the diagnosis of genital herpes. For women who have genital herpes, the providers who care for them during pregnancy and those who will care for their newborn infant should be informed of their infection (see Genital Herpes During Pregnancy).

When is HSV low risk?

The low risk for neonatal HSV except when genital herpes is acquired late in pregnancy or if prodrome or lesions are present at delivery.

Can latex condoms be used for herpes?

The effectiveness of male latex condoms, which when used consistently and correctly can reduce, but not eliminate, the risk for genital herpes transmission ( 486 – 488 ).

Is HSV-1 shedding suppressive?

Recurrences are less frequent after the first episode of HSV-1 genital herpes, compared with genital HSV-2 genital herpes, and genital shedding rapidly decreases during the first year of infection ( 479 ). No data are available regarding the efficacy of suppressive therapy for preventing transmission among persons with HSV-1 genital herpes infection. Because of the decreased risk for recurrences and shedding, suppressive therapy for HSV-1 genital herpes should be reserved for those with frequent recurrences through shared clinical decision-making between the patient and the provider.

Does Valacyclovir help with genital herpes?

Treatment with valacyclovir 500 mg daily decreases the rate of HSV-2 transmission for discordant heterosexual couples in which a partner has a history of genital HSV-2 infection ( 473 ). Such couples should be encouraged to consider suppressive antiviral therapy as part of a strategy for preventing transmission, in addition to consistent condom use and avoidance of sexual activity during recurrences. Suppressive antiviral therapy for persons with a history of symptomatic genital herpes also is likely to reduce transmission when used by those who have multiple partners. HSV-2 seropositive persons without a history of symptomatic genital herpes have a 50% decreased risk for genital shedding, compared with those with symptomatic genital herpes ( 476 ). No data are available regarding efficacy of suppressive therapy for preventing HSV-2 transmission among discordant couples in which a partner has a history of asymptomatic HSV-2 infection identified by a positive HSV-2 serologic test. Among HSV-2 seropositive persons without HIV infection, oral TDF/FTC and intravaginal tenofovir are ineffective at reducing the risk for HSV-2 shedding or recurrences ( 477 ).

What is the best treatment for herpes?

Treatment options for herpes symptoms include prescription medication, over-the-counter (OTC) medication, and home remedies. The best herpes treatment for you may depend on the type and severity of the infection.

How to cure herpes?

Some home remedies for herpes include: 1 applying a warm or cold compress 2 applying cornstarch or baking soda paste 3 making dietary changes 4 applying garlic or apple cider vinegar 5 incorporating supplements like lysine and zinc 6 applying herbs and essential oils

Is Abreva a topical medication?

Docosanol ( Abreva) Docosanol is the active ingredient in the OTC topical medication Abreva, which is FDA-approved for the treatment of recurrent herpes simplex labialis (HSL), the most recognized recurring infection of your lips and perioral tissue caused by HSV-1. A 2001 study concluded that docosanol is safe and effective for treating recurrent ...

Can you take Valacyclovir by mouth?

Valacyclovir comes in tablet form taken by mouth. It is a prescription antiviral drug that can treat the symptoms of and prevent flare-ups of oral and genital herpes. People with frequent outbreaks can take valacyclovir daily as part of their suppressive therapy to prevent future infections and reduce the risk of transmission to sexual partners.

Is famciclovir a prescription drug?

Famciclovir (Famvir) Famciclovir, taken orally in the form of a tablet, is a prescription drug for oral and genital herpes. It is recommended for people with strong immune systems, though it should not be the first course of treatment for people experiencing their first episode of genital herpes. It is also not recommended for people ...

What is acyclovir used for?

It can decrease the pain of outbreaks and help them heal faster. In people with weakened immune systems, acyclovir can also help prevent the risk of the virus spreading to other parts of your body, causing further infections. In severe cases, the intravenous (IV) form of acyclovir can be administered by a healthcare professional.

Does valacyclovir reduce transmission?

A 2004 study concluded that once-daily suppressive therapy with valacyclovir significantly reduces transmission of HSV-2 (genital herpes) among couples.

How to diagnose genital herpes?

Your doctor usually can diagnose genital herpes based on a physical exam and the results of certain laboratory tests: Viral culture. This test involves taking a tissue sample or scraping of the sores for examination in the laboratory. Polymerase chain reaction (PCR) test.

What happens if you find out you have herpes?

Finding out that you have genital herpes can cause embarrassment, shame and anger, among other emotions. You may be suspicious or resentful of your partner if you think he or she "gave" you the infection. Or you might fear rejection by your current partner or future partners.

Can genital herpes be cured?

There's no cure for genital herpes. Treatment with prescription antiviral medications may: Help sores heal sooner during an initial outbreak. Lessen the severity and duration of symptoms in recurrent outbreaks. Reduce the frequency of recurrence. Minimize the chance of transmitting the herpes virus to another.

Can you take antiviral medication for herpes?

Antiviral medications used for genital herpes include: Your doctor may recommend that you take the medicine only when you have symptoms of an outbreak or that you take a certain medication daily, even when you have no signs of an outbreak.

What is the best medication for herpes?

There are three major drugs commonly used to treat genital herpes symptoms: acyclovir ( Zovirax ), famciclovir ( Famvir ), and valacyclovir ( Valtrex ). These are all taken in pill form. Severe cases may be treated with the intravenous (IV) drug acyclovir.

How long does it take for herpes to heal?

If you have symptoms such as sores when you're first diagnosed with genital herpes, your doctor will usually give you a brief course (seven to 10 days) 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.

How many outbreaks can you have with 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.

How long do you have to take antiviral pills for sores?

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.

Is Acyclovir safe for long term?

Side effects with these herpes drugs are considered mild, and health experts believe these drugs are safe in the long term. Acyclovir is the oldest of the three, and its safety has been documented in people taking suppressive therapy for several years. Need Confidential & Fast STD Tests.

Does valacyclovir help with herpes?

A study published in the New England Journal of Medicine in 2004 found that daily doses of valacyclovir protected sex partners of those with genital herpes from being infected.

Can antiviral drugs help with herpes?

Future Treatments. Treatment with antiviral drugs can help people who are bothered by genital herpes outbreaks stay symptom-free longer. These drugs can also reduce the severity and duration of symptoms when they do flare up. Drug therapy is not a cure, but it can make living with the condition easier.

What is the best antiviral for herpes simplex?

Prescription antiviral medicines approved for the treatment of both types of herpes simplex include: 1 Acyclovir 2 Famciclovir 3 Valacyclovir

Why do outbreaks become less frequent?

Over time, the outbreaks tend to become less frequent and milder. This is because the body makes antibodies (defenses) to the virus.

Can you treat herpes simplex without treatment?

The good news is that sores often clear without treatment. Many people choose to treat herpes simplex because treatment can relieve symptoms and shorten an outbreak. Most people are treated with an antiviral medicine. An antiviral cream or ointment can relieve the burning, itching, or tingling.

Is herpes simplex the worst?

The first (primary) outbreak of herpes simplex is often the worst. Not all first outbreaks are severe, though. Some are so mild that a person does not notice. When the first outbreak of genital herpes is mild and another outbreak happens years later, the person can mistake it for a first outbreak.

Pharmaceuticals

When we have been diagnosed with herpes, most of us are offered pharmaceuticals to help calm an outbreak or use as a prophylactic so we do not give it to a sexual partner. Commonly prescribed pharmaceuticals for herpes include Acyclovir (Zovirax), Famcyclovir (Famvir), and Valacyclovir (Valtrex).

Nutritional Supplementation

It is possible to help control the frequency and severity of herpes outbreaks through modifying nutritional intake – either through food selection and/or taking a supplement.

Botanical Products

Botanical products have recently been rediscovered as a treatment for herpes outbreaks. One of the most effective plants is Melissa officinalis, also commonly known as “Lemon Balm” for its lemony scent.

Understanding Your Options for Herpes Treatment

So, while pharmaceutical products exist to help with herpes, they are not the only source of assistance.

Calming Your Mind

Most of us don’t realize that we have a lot of stress that this can counteract our other best efforts to control our outbreaks.

How to prevent herpes outbreaks?

Whether or not you take medicine to treat herpes, taking care of yourself by eating healthy foods, getting enough sleep, and avoiding stress might help keep future outbreaks from popping up.

Why do people use condoms for herpes?

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.

How to help genital sores?

keeping your genital area dry (moisture makes the sores last longer) wearing soft, loose clothes. putting an ice pack on the sores. taking a pain reliever like aspirin, ibuprofen (Advil, Motrin), or acetaminophen (Tylenol).

Can oral herpes cause a flare up?

Sunburns, injuries to your lips, or other infections can cause oral herpes flare-ups. Try to avoid getting sunburned if you have oral herpes. Genital herpes outbreaks usually happen less often and become shorter and weaker after a few years — whether or not you get treated.

Does Herpes medicine help with sores?

Herpes medicine makes outbreaks go away sooner and/or prevents them from coming back as often. Your doctor will tell you about the best treatment options for your situation. If you’re having an outbreak, your doctor can give you medicine to help heal your sores faster. You can also help ease the pain by:

Can you cure herpes?

Living with herpes. There’s no cure for herpes. But you can take medicine that makes outbreaks shorter and less painful, and can help prevent outbreaks in the future. X in a circle.

Is herpes a deadly disease?

The good news about herpes is that it’s not deadly or even very dangerous. It might be annoying, but herpes doesn’t get worse over time or cause serious health problems like other STDs can.

What are some home remedies for herpes?

Home remedies, including compresses, honey, and garlic, may help manage the symptoms of herpes.

How to get rid of herpes on hands?

Gels. For genital herpes, applying petroleum jelly to the affected area can reduce the discomfort associated with urinating. It is important to wash the hands both before and after applying the jelly. A pharmacy will sell other gels that are specifically for herpes infections.

Does lysine help with cold sores?

According to the International Council on Amino Acid Science, taking lysine supplements may help prevent outbreaks of cold sores. However, the evidence for this came from older sources. In a 2017 review, experts found that taking a minimum of 1 gram. Trusted Source.

Does pomegranate help with herpes?

Pomegranate contains zinc, which can help reduce herpes infections . Other dietary recommendations include: increasing the intake of the amino acid lysine, though evidence as to its effectiveness is mixed. avoiding the amino acid arginine. avoiding excessive smoking and consumption of red wine and caffeine.

Why is it important to take vitamin D when you have herpes?

Vitamin D can protect the body against the infection by improving part of the immune system.

Does garlic lower the activity of viruses?

Older studies suggest that garlic may have properties that can lower the activity of several viruses, including both types of HSV.

Is kanuka honey good for herpes?

One 2019 study suggests that the application of kanuka honey may be as effective in treating oral herpes as antiviral creams.

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