Treatment FAQ

what is the most effective treatment for cold sores

by Krista Lueilwitz MD Published 3 years ago Updated 2 years ago
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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

 · OTC cold sore treatment options include topical medications like: Docosanol (Abreva) Benzyl alcohol (Zilactin) Benzocaine (Orajel) Prilocaine Lidocaine Glycine Zinc …

Nutrition

 · Home remedies Apple cider vinegar. However, full-strength apple cider vinegar is too intense to use directly on a cold sore and could... Essential oils. Studies have found that a variety of essential oils — which are concentrated oils containing plant... Kanuka honey. Honey already has a reputation ...

What is the best natural remedy for cold sores?

 · How to treat cold sore pain Numb the pain: Over-the-counter pain reliever creams such as lidocaine and benzocaine can numb the burning and ease the... Moisturize: Keep your lip and mouth area moisturized to prevent the sore from drying out and peeling, Dr. Beers says. Cool it: Using a simple cold ...

What is the best natural remedy for a cold sore?

 · The abreva docosanol medical treatment for cold sore hurts like hell, is best for fast acting and it provides great value. Healing cream for treating cold sores and fever blisters on the face or lips. In addition, the treatment relieves pain and it helps with pain. The treatment is 10x better already and it has followed the directions.

What pills are good for cold sores?

Some research has shown that lemon balm extract can help cold sores get better, too. Tea tree oil. Some research has shown that this strong-smelling oil helps a cold sore heal more quickly....

What is the fastest cold sore treatment?

Research shows that an herbal preparation made with dried rhubarb and sage extracts is just as effective as medicinal creams for treating cold sores. …

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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.

What is the strongest medication for cold sores?

The most effective are penciclovir and acyclovir and should be started ASAP at the first signs of a prodrome, per Dr. Shainhouse. Another option is topical anesthetics, like prescription lidocaine or OTC benzocaine, which are available as mouthwashes, creams, and ointments.

How do you get rid of a cold sore fast overnight?

You cannot get rid of cold sores overnight. There is no cure for cold sores. However, to speed up the healing time of a cold sore, you can consult with your doctor and take prescription medications such as antiviral tablets and creams.

What is the best treatment for cold sores on the lip?

Because cold sores are caused by a virus, doctors may suggest an antiviral medication to help you heal more quickly. The antiviral drugs used to treat cold sores include acyclovir (Zovirax), valacyclovir (Valtrex), famciclovir (Famvir), and penciclovir (Denavir). Sunscreen. Getting a sunburn may trigger a cold sore.

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.

Can you put too much Abreva on a cold sore?

Small amounts of Abreva® Cream that get just inside the lip or mouth junction by the cold sore should not be a problem. However, if you accidentally place a large amount of cream into your mouth, then remove the cream, rinse out your mouth with water and contact your health professional.

Does toothpaste get rid of cold sores?

According to the Wound Care Society, toothpaste may not get rid of cold sores overnight but can help reduce pain, prevent blisters from forming, and promote faster healing. Most toothpastes contain sodium lauryl sulfate (SLS), which can numb the area and help dry out blisters or halt their progression.

Is it better to keep a cold sore moist or dry?

Cold sores love warm, moist environments, and this is precisely the environment you present to a cold-sore when you slather it in cream for days on end. You're best to let it dry out to the point where it is no longer painful, and then begin applying cream or lip balm to minimize splitting.

Is Carmex good for cold sores?

Carmex® Multi-Symptom Cold Sore Treatment contains benzocaine, an FDA-approved pain relief ingredient, which helps temporarily relieve pain and itch associated with cold sores and fever blisters.

Why do I keep getting cold sores on my lips?

Cold sores spread from person to person by close contact, such as kissing. They're usually caused by herpes simplex virus type 1 (HSV-1), and less commonly herpes simplex virus type 2 (HSV-2). Both of these viruses can affect your mouth or genitals and can be spread by oral sex.

How much lysine should you take to prevent cold sores?

Lysine is available as an oral supplement and a cream. To treat a cold sore infection, apply lysine cream to the affected area every two hours for 11 days. To manage cold sore infections, the recommended dosage for oral supplements is 1 gram three times daily. To help prevent them, the dosage is 1 gram daily.

How fast does Abreva work?

When applied at the first sign, Abreva® is clinically proven to heal a cold sore in as little as 2½ days*. Simply put, it's your best defense for fighting off a cold sore. *Median healing time 4.1 days. 25% of users healed in 2.5 days.

How much valacyclovir should I take for a cold sore?

For treatment of cold sores: Adults—2000 milligrams (mg) every 12 hours for one day. Children 12 years of age and above—2000 milligrams (mg) every 12 hours for one day. Children below 12 years of age—Use and dose must be determined by your doctor.

How much acyclovir should I take for a cold sore?

Your doctor will tell you how much to take and how often. A single dose is generally between 200mg and 800mg, and may be lower for children. You'll usually take aciclovir 2 to 5 times a day. Try to space the doses evenly throughout the day.

How do you get rid of a cold sore in 24 hours?

Use a cotton swab to apply apple cider vinegar on the cold sore with the cotton swab and leave it one until it dries. Repeat this several times throughout the day. Apple cider vinegar is an antimicrobial agent, which can kills the virus that's causing infection and provide you with quick relief.

How do you get rid of cold sores forever?

There's no cure for cold sores. Once you have the virus, it stays in your body. The sores themselves usually heal on their own in 1 or 2 weeks. Antiviral medications can speed healing, especially if you take them at the first sign of an outbreak.

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 are the symptoms of a cold sore?

Most people with oral HSV-1 often don’t experience symptoms. In fact, many people don’t even know they are infected.

Over-the-counter cold sore treatments

A number of creams and ointments are available over-the-counter (OTC) to treat cold sores. They have been shown to help reduce symptoms and recovery time of cold sores when used as directed.

Prescription cold sore medications

In addition to OTC cold sore treatments, prescription medications are also available. Since a cold sore is caused by a virus, an antiviral can be prescribed when needed.

Can you prevent a cold sore?

Cold sores can be transmitted by mouth-to-mouth contact. A cold sore is the most contagious when a person has an active cold sore. One way to prevent a cold sore is to avoid oral contact or kissing a person who currently has a cold sore.

The bottom line

Cold sores are a symptom of a viral infection called HSV-1. Most people first experience cold sores at an early age and then several times throughout their life. While there are many treatment options available, how soon you begin treatment is the most important factor in determining how effective it will be.

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 get rid of cold sores?

Ice may not reduce the duration of a breakout, but it can ease the discomfort and inflammation of cold sores. Apply a cold pack directly to the sores for temporary relief.

How to protect lips from cold sores?

Sunscreen not only protects your lips while the cold sore is healing, but it can also reduce future outbreaks when worn daily on the lips. Look for at least SPF 30, and apply it whenever you expect to be in the sun. Shop for sunscreen online. 6. Stress reduction.

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 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 to prevent cold sores from herpes?

Meditation, regular exercise, and avoiding the causes of stress in your life may help. 7. Ibuprofen or acetaminophen.

What is the best treatment for cold sores?

Cold sore relief comes in many different forms. There are oral medications and topical options as well as devices and patches that block the virus causing the cold sores and treat symptoms.

What is the best cold sore gel?

Best for Blisters: Zilactin Cold Sore Gel. This gel creates a protective layer over cold sores and envelopes them with pain relief. The active ingredient, 10% benzyl alcohol, is designed to heal and dull pain relief for up to six hours, and it’s safe to be used around and in the mouth.

How to use docosanol for cold sores?

Active Ingredients: Docosanol | Dose: Apply a small amount to the affected area. Rub it in gently. Apply 5 times a day until healed. | Uses: Relieve symptoms, shorten healing and treat cold sores and fever blisters on the face or lips

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.

What is the ingredient in Cold Sore?

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.

Does Abreva help with cold sores?

Certain medications, such as Abreva, may also help cold sores heal faster if used as soon as you feel a cold sore developing. Abreva works by helping to prevent the herpes virus from spreading to healthy skin cells. —Jin Lin, D.M.D., pediatric dentist with Hurst Pediatric Dentistry

Can you get a cold sore from herpes?

You can have these antibodies, but never actually develop a herpes sore on your skin. "About 20-40% of the population will develop at least one lesion in their lifetime,” according to Tsippora Shainhouse, M.D., FAAD, board-certified dermatologist in Beverly Hills.

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 cold sores?

Lemon balm. Research from 2006 suggests that applying cream with lemon balm, which is an herb from the mint family, to a cold sore could help the healing process. Lemon balm is also available in capsule form and is used for a variety of other therapeutic purposes.

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.

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.

What foods cause a burning sensation when you have a cold sore?

Eat acidic food. Food that’s high in acid, like citrus fruit and tomatoes, can cause a burning sensation when they come into contact with a cold sore. You might want to avoid them and opt for blander fare for a few days.

What to do if you have a blister on your mouth?

If you still have a blister, it’s best to avoid intimate contact with your partner that involves your mouth. Wait until it clears up before you resume sexual activity. Eat acidic food. Food that’s high in acid, like citrus fruit and tomatoes, can cause a burning sensation when they come into contact with a cold sore.

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 to treat cold sores?

How to treat cold sore pain 1 Numb the pain: Over-the-counter pain reliever creams such as lidocaine and benzocaine can numb the burning and ease the discomfort. These are often marketed for dental pain, so look for them in the dental section of the drug store. 2 Moisturize: Keep your lip and mouth area moisturized to prevent the sore from drying out and peeling, Dr. Beers says. But if you use lip balm on an active sore, consider it contaminated. “Once you’ve used it on a cold sore, you should throw it away after the sore is better,” Dr. Beers says. 3 Cool it: Using a simple cold compress, like ice or a cold, wet rag, can help reduce pain and redness. 4 Hands off: It can take all your self-control not to play with a cold sore, but try to resist the temptation. “It’s instinct to pick at it and scrape the peeling skin, but you should let it heal itself,” Dr. Beers says.

How to get rid of a cold sore in 2 weeks?

Cold sore remedies. Two weeks might as well be an eternity when you have an oozy, scabby sore smack dab in the middle of your face. Here’s what you can do to ease the discomfort and send that cold on its way. Oral antiviral medications: “The most efficient way to get rid of cold sores is with oral antiviral medications,” Dr. Beers says.

What is the best pain reliever for dental pain?

Numb the pain: Over-the-counter pain reliever creams such as lidocaine and benzocaine can numb the burning and ease the discomfort. These are often marketed for dental pain, so look for them in the dental section of the drug store.

How many people in the US have cold sores?

Policy. More than half of people in the U.S. have been infected with the virus that causes cold sores. Between 20 and 40% of them will experience the joy that is a cold sore. If you’re one of them, odds are you know this pattern: A tingling or burning sensation on your lip.

Can a cold sore disappear?

DIY remedies aren’t likely to make a cold sore disappear any faster. But there are things you can do to ease the pain while you’re waiting impatiently for it to heal.

Is a cold sore contagious?

Cold sores: common and contagious. Cold sores are common and mostly harmless. They’re caused by the herpes simplex virus, which spreads easily from person to person. In some lucky people, the virus might cause a cold sore once or twice and never rear its head again.

Can a baby get a cold sore?

Beers advises: “As much as you might want to see your niece or nephew or grandbaby, please don’t shower them with kisses if you have an active cold sore.”. Advertising Policy.

How to stop cold sores from getting worse?

You may be able to stop it in its tracks, or at least keep it from getting worse.

What is the best oil to use for cold sores?

Tea tree oil. Some research has shown that this strong-smelling oil helps a cold sore heal more quickly.

How do you get herpes simplex?

You can also get herpes simplex by sharing lip balm, a fork, a mug or a razor with someone who has it.

What vitamins help with cold sores?

Vitamin C and vitamin E . Both of these vitamins have been shown to fight cold sores. Studies have shown that vitamin C can inactivate the herpes simplex virus, the virus that causes cold sores. Other research has shown that vitamin E can help heal cold sores. Stress reduction.

What to do when cold sore stings?

Pain relievers. When a cold sore really stings, you may get some relief from an over-the-counter painkiller like acetaminophen. Over-the-counter creams. There are products available at the drugstore that can help reduce the pain of a cold sore or help keep the skin soft while it heals. Prescription drugs.

How do you know if you have a cold sore?

Cold Sore Home Treatment. If you’ve ever had a cold sore, you know the signs. It starts with the tingling, then the edge of your lip or the corner of your mouth begins to burn. Then the outbreak: An ugly red sore appears. A few days later it breaks open and crusts over.

Can you get a cold sore from saliva?

For example, if you rub your eyes after getting saliva from an infected person on your hands, or if you receive oral sex from someone who has cold sores. When you’re first exposed to the virus, you’re likely to get a cold sore.

What is the best cream for cold sores?

In fact, a cream combining rhubarb and sage may be about as effective as acyclovir (Zovirax) cream. This remedy is especially helpful for reducing pain caused by cold sores. Light Therapy. Using low-level light therapy as a way to treat cold sores is a relatively new technology.

How to stop a cold sore from spreading?

Here are some ways to stop the spread of the cold sore: Scratching or pick ing at a cold sore can spread the virus to other parts of the body. Tell your child not to touch the cold sore and to wash their hands and toys regularly.

How to get rid of cold sores on lips?

If you can't find any lip balm infused with lemon, you can try soaking a cotton ball in strong lemon tea and pressing it against the affected area for a few minutes several times a day until your cold sore heals.

Why do cold sores stick?

Cold sores result from an oral herpes infection, which mainly spread by mouth-to-mouth contact. However, some people with this type of infection don't experience any symptoms at all. Because HSV-2 is very contagious, it is also very common. Once you contract the infection, it sticks with you for the rest of your life.

What is a cold sore on the face?

In this Article. A cold sore is a group of small, painful blisters or ulcers on your face that are caused by the herpes simplex virus (HSV). Although they typically show up around the outside of your mouth, you can also get cold sores on your nose or cheeks. There are two types of HSV: type 1 is called oral herpes or HSV-1, ...

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

Although it can take several weeks, cold sores usually go away on their own. If you want to speed up your recovery and lessen your symptoms, there are several remedies you can try.

What to do if your child has a cold sore?

Don’t allow your child to participate in sports or social activities in which they would be in close contact with other children.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Aakash Gupta
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.

Preparing For Your Appointment

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