Treatment FAQ

what is the best treatment for cold sores

by Julien Gottlieb 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

Medication

Don’t touch the cold sore. Resist the urge to pick at any crusted skin or blisters while suffering from a cold sore. Try ice. Cold sore sufferers often describe a cold sore as feeling inflamed. Use an ice pack or ice cubes wrapped in a... Throw out lip products. If you’re a frequent lip balm or ...

Self-care

Mar 28, 2022 · Best Overall: Abreva 10% Docosanol Cream Treatment for Cold Sore/Fever Blister, 0.07 Ounce FDA-approved, non-prescription option Works at …

Nutrition

Feb 02, 2021 · Prescription treatments include pills or creams such as: Acyclovir (sold under the brand name Zovirax) Valacyclovir (sold under the brand name Valtrex) Famciclovir Penciclovir (sold under the brand name Denavir)

What is the best natural remedy for cold sores?

Feb 25, 2020 · Here are three things that can help soothe a cold sore or make it clear up faster: 1. Try home remedies. When used early, there are several remedies that can help ease the pain and reduce swelling — and... 2. Apply topical creams and ointments. There are a few over-the-counter anesthetic ointments ...

What is the best natural remedy for a cold sore?

Mar 08, 2022 · Topical over-the-counter creams are often used for cold sores. The first time a person gets a cold sore, the best cold sore treatment is oral medication of acyclovir, also called Zovirax®. Some doctors may choose to ask patients to take the oral form and also to use an ointment or cream form at the same time.

What pills are good for cold sores?

Feb 22, 2022 · A 2018 review found that acyclovir, penciclovir, or docosanol were only “marginally” more efficient at treating cold sores than a placebo, shortening participants’ pain duration by fewer than 24...

What is the fastest cold sore treatment?

Jan 24, 2021 · If you get more than three cold sores a year, you might benefit from taking a daily lysine supplement as a preventive cold sore remedy. The …

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How do you get rid of a cold sore fast?

There are antiviral drugs that can help cold sores heal faster, including acyclovir, valacyclovir, famciclovir and penciclovir....What are the best ways to get rid of a cold sore?Cold, damp washcloth.Ice or cold compress.Petroleum jelly.Pain relievers, such as ibuprofen and acetaminophen.Feb 25, 2020

What is the best product to get rid of cold sores?

Best Overall: Abreva 10% Docosanol Cream Treatment for Cold Sore/Fever Blister, 0.07 Ounce. Infused with 10% Docosanol, this FDA-approved, non-prescription medicine works to treat cold sores, which is why we chose it as our top pick.Mar 28, 2022

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.

Does crushed ibuprofen help cold sores?

There's nothing to gain by toughing it out. Taking ibuprofen or acetaminophen can help reduce the pain and swelling, although this won't make the cold sore go away.

Are cold sore outbreaks completely random?

No. Usually you will experience an outbreak if you have a weakened immune system, you’re experiencing high levels of stress, or you’re eating certa...

If I have a cold sore, does that mean I have an STD?

No, not necessarily. Cold sores can be spread through means other than sexual contact. However, it’s possible for them to be spread through oral se...

Will cold sores leave scars on my lips?

No. If left untreated, a cold sore will go away within two to four weeks. After it disappears, your lip will return to how it normally looks.

What is the best medicine for cold sores?

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. Topical steroids or anti-inflammatory cream ( hydrocortisone) can be applied a few times a day to reduce the pain, itch, redness, and inflammation. They provide comfort and can be used with anti-virals. Prescription topical anti-viral creams can reduce the severity and duration of a cold sore. The most effective are penciclovir and acyclovir and should be started ASAP at the first signs of a prodrome, per Dr. Shainhouse.

How long does a cold sore patch last?

One patch offers up to twelve hours of protection and reduces scabbing. Customers call them “amazing” because they cover the cold sore completely and offer quick relief. The patches also remove the worry that the virus is spreading to others and eliminates the “gross scabby period of time.”.

How long does it take for a sore to tingle?

“Many people have a prodrome period immediately before the sore develops,” says Dr. Shainhouse. “You can feel pain, itching, tingling up to one day prior to the sore developing. It is associated with viral replication and nerve irritation.

Is Abreva a prescription medicine?

Abreva is great for abbreviating cold sores. It’s the only FDA-approved, non-prescription medicine to treat cold sores with the active ingredient Docosanol. The sooner you catch the initial signs of a cold sore, the better this cream works to block the virus that causes it.

Is it safe to use chaparral extract for cold sores?

This herbal remedy is safe for children and still lessens the severity and duration of cold sores with natural and organic ingredients. Ingredients include coconut oil, beeswax, lemon balm, L-Lysine, grapefruit seed extract, echinacea, chaparral extract, goldenseal, and peppermint and eucalyptus essential oil.

How long does it take for lip balm to heal?

Research studies demonstrated the balm cut cold sore healing time in half and can fully cure symptoms in as little as three days. 2 The active ingredients include menthol for pain relief and lysine.

Does lysine help with cold sores?

Active Ingredients: Menthol, Lysine | Dose: Apply as needed. | Uses: Temporarily relieves symptoms of cold sores and fever blisters. Lip balms primarily work by working the skin and providing a moist environment for healing.

What is the best medicine for cold sores?

Over-the-counter antiviral medications. Products containing docosanol or benzyl alcohol can be helpful in reducing the duration of the cold sore. Lysine is available as an oral supplement and a cream that, according to older research. , may be helpful in reducing the duration of outbreaks.

How to prevent cold sores?

Because stress can cause the herpes virus to come out of dormancy, reducing the amount of stress in your life is one way to prevent cold sores. Meditation, regular exercise, and avoiding the causes of stress in your life may help.

What is the best medication for a syphilis?

If you experience several outbreaks a year, you can even take oral antiviral medication all year round to prevent outbreaks altogether. These treatments include: 1 acyclovir (Zovirax) 2 valacyclovir ( Valtrex) 3 famciclovir (Famvir) 4 penciclovir (Denavir)

What is the best treatment for a blister?

1. Lemon balm. The antiviral properties of lemon balm, also known as Melissa officinalis, may help reduce the redness and swelling associated with a blister or protect against future infections — at least according to some older research. Use a lip balm with at least 1 percent lemon balm.

How long does a cold sore last?

They can break open, ooze, and crust over, lasting for around 7 to 10 days. Those 7 to 10 days can be brutal, but you may find comfort in home remedies and natural treatments. About 90 percent of adults across the globe ...

Can a virus leave the body?

But the virus doesn’t leave the body after the initial breakout. It simply remains dormant in your nerve cells. Flare-ups can occur at any time and are triggered by things like stress, hormonal fluctuations, surgery, fevers, illness, or sun exposure.

How long does it take for a cold sore to go away?

Cold sores will you usually go away on their own after a few days , but there are several prescription treatments that can help speed up that healing time. If you experience several outbreaks a year, you can even take oral antiviral medication all year round to prevent outbreaks altogether.

What causes a cold sore?

Dr. Brown says that a cold sore outbreak can be triggered by: 1 Fever 2 Illness, including a cold 3 Menstruation 4 Stress 5 Sunlight 6 Weakened immune system

What to do for a swollen ear?

Cold, damp washcloth. Ice or cold compress. Petroleum jelly. Pain relievers, such as ibuprofen and acetaminophen. 2. Apply topical creams and ointments. There are a few over-the-counter anesthetic ointments and creams that can help control pain, such as lidocaine or benzocaine.

Can you get a cold sore from kissing?

Interestingly, however, most people who contract the virus never actually develop symptoms.". If the virus does cause cold sores, it can spread from person-to-person through close contact, like kissing. But, while you may not know it, the virus can also spread by sharing: Cosmetics. Food and drink.

Can you take antiviral medication for a cold sore?

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. "To get rid of a cold sore quickly, the best thing you can do is start treating it as soon as possible," says Dr. Brown.

Can a cold sore heal?

Brown. "After a cold sore heals, the virus isn't actually cleared from your body. Instead, the virus travels back into your nerves, where it can lie dormant for long periods of time.

How to treat a cold sore?

One of the most important things to remember about treating a cold sore: Don’t wait. Start treating it right away, and you may be able reduce the time you have it. When you notice that telltale tingle, go ahead and start applying a topical antiviral medicine to the spot on your skin.

What is the best medicine for a cold sore?

Peppermint oil. Lab tests show that peppermint oil is effective in fighting off both the HSV-1 and herpes simplex virus type 2 (HSV-2). If want to try this remedy, apply a diluted bit of peppermint oil to the spot as soon as you feel the tingle of a developing cold sore.

What is the best cream for a swollen ear?

An OTC topical cream isn’t your only option. You can also try a prescription antiviral medication. Sometimes, these stronger medications can speed up the healing process. Talk to your doctor to see if one of these might be a good option for you: 1 Acyclovir (Zovirax): available in oral form and as a topical cream 2 Famciclovir: available as an oral medication 3 Penciclovir (Denavir): available as a cream 4 Valacyclovir (Valtrex): available as a tablet

What is it called when you have a blister on your lip?

Share on Pinterest. You may call them cold sores, or you may call them fever blisters. Whichever name you prefer for these sores that tend to develop on the lip or around the mouth, you can blame the herpes simplex virus, usually type 1, for them. The virus, also known as HSV-1, causes these blisters or ulcers, which can be painful and unsightly.

What is the most common viral infection in the mouth?

Lots of people get cold sores. Chances are, you know someone who’s had one before, or maybe you’ve had one, too. HSV-1 is the most commonly recurring viral infection.

How long does it take for a cold sore to clear up?

In fact, more than half of all Americans between the ages of 14 and 49 carry this virus. Cold sores typically clear up within 2 weeks in healthy people — that is, people with a healthy immune system and no other underlying health conditions, like eczema.

Is acyclovir a topical cream?

Acyclovir (Zovirax): available in oral form and as a topical cream. Famciclovir: available as an oral medication. Penciclovir (Denavir): available as a cream. Valacyclovir (Valtrex): available as a tablet. Experts strongly suggest taking or using these medications as early as you can to expedite the healing cycle.

How to get rid of a cold sore?

Vinegar is acidic, and viruses don't do well in an acidic environment. Use a cotton swab dipped in any kind of vinegar and apply to the affected area, repeating several times a day at the first suggestion of the telltale tingle.

How to prevent cold sores?

Transmitting the virus to your eyes could cause a nasty infection that could potentially damage your eyesight. 17. Step up your dental hygiene game. Keep your toothbrush in a dry spot, preferably on an open shelf where it's exposed to circulating air and sunlight.

How long does it take for a blister to go away?

The blister swells, bursts, oozes fluid, crusts over, and departs, often in 7 to 10 days. Painful sores on your tongue and inside your lips and cheeks may accompany an initial outbreak. Common triggers of a new outbreak include sunlight, stress, menstruation, and fatigue.

Does zinc help with cold sores?

In test-tube studies, this nutrient has been shown to block the replication of the virus. Zinc also boosts the immune system and fortifies the surface tissue on your lips and on the inside of your mouth, making it difficult for the virus to take hold. 14. Try to avoid whatever seems to trigger cold sore outbreaks.

How to treat a sore in the jar?

When you do this, however, make sure you don't transmit the virus to the stuff in the jar. Instead of using your finger, apply the petroleum jelly with a cotton swab. Use a fresh swab every time.

Can you get cold sores from saliva?

Like laughter and yawns, the sores are contagious. Direct contact with an infected person's saliva is usually necessary to pass the bug along, but if anyone in your house has cold sores, don't mix up washcloths, towels, drinking glasses, or toothbrushes. When you have a cold sore, avoid touching your eyes.

Can you use lemon balm for cold sores?

In German studies, people with recurrent cold sores who used a lemon balm ointment regularly had less frequent outbreaks, or stopped developing the sores altogether. Look for a lemon balm ointment in health food stores, and use it as needed. Dab the sore with a tincture of myrrh on a cotton swab up to 10 times a day.

How to prevent cold sores from getting worse?

Wear sunscreen and SPF lip balm: It is important to make sure a cold sore doesn’t get sunburned while it is healing. Also, wearing a lip balm with SPF 30 every day could prevent future cold sores. Avoid acidic foods: Orange juice, tomatoes and other acidic foods can aggravate a cold sore.

What is a cold sore?

A cold sore is a fluid-filled blister (or a cluster of blisters) that appears on the lips and around the mouth. Cold sores are also called fever blisters, oral herpes or herpes labialis. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

Why is it called a cold sore?

Cold sores are sometimes called oral herpes because they are caused by the herpes simplex virus type 1 (HSV-1). This virus is very common and highly contagious. It spreads through saliva or close contact — often through kissing or by sharing utensils, straws, towels or lip balm with someone who has a cold sore.

Can herpes cause encephalitis?

Immunocompromised people: For people with weakened immune systems, the herpes simplex virus can lead to encephalitis ( swelling of the brain). If you have HIV or are undergoing chemotherapy, cold sores could be more severe and could take longer to go away.

How many people have cold sores?

More than half of the people in the United States have been infected with the virus that causes cold sores, though many people never develop cold sores or have any symptoms. About 20 to 40 percent of people who have the virus develop cold sores.

Can HSV-1 cause a cold sore?

After an outbreak, the virus goes back to sleep in your body. What triggers a cold sore in one person might not cause an outbreak in another person. Some people with HSV-1 never develop a cold sore. A cold sore can be activated by a variety of factors, including: Hormonal changes during menstruation or pregnancy.

How long does it take for a cold sore to itch?

When you have a cold sore outbreak: The first sign of a cold sore is usually a tingling, burning, or itching sensation on or around the lips, beginning about 12-24 hours before the cold sore develops. The area becomes red, swollen and painful as the blisters form. Over 2-3 days, the blisters rupture and ooze fluid that is clear or slightly yellow. ...

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Treatment

Lifestyle and Home Remedies

Alternative Medicine

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Cold sores generally resolve within few weeks. Antiviral drugs may be prescribed for faster healing.
Medication

Antivirals: Either in the form of oral pills or creams to be applied on the sores; drugs in injection forms are recommended in severe cases.

Acyclovir . Valacyclovir . Famciclovir


Analgesics: To relieve pain.

Ibuprofen . Acetaminophen

Self-care

Always talk to your provider before starting anything.

  • Avoid touching, rubbing, or scratching the blisters or sores.
  • Do not kiss others.
  • Take or apply the medications as prescribed.
  • Use moisturizing creams, lip balms or creams to prevent lips from drying.
  • Apply cold compresses to reduce redness and crusting.

Nutrition

Foods to eat:

  • Foods rich in Vitamin C like kiwis, broccoli, berries, oranges and tomatoes
  • Foods rich in Vitamin E like almonds, spinach and sweet potato
  • Foods rich in Omega-3 fatty acids like canola oil, cod liver oil, flaxseed oil and mustard oil

Food to avoid:

  • Dried fruits like dried apricot
  • Alcoholic drinks like wine or beer
  • Frozen or prepared shrimp
  • Food with high amount of sulphites and preservatives like pickles
  • Food that is allergic to your body

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.

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