infections
Herpes Simplex Virus (HSV) Infections
Treatment of HSV Infections
, may relieve discomfort slightly and help symptoms resolve a day or two sooner (see table Some Antiviral Drugs for Herpesvirus Infections ). Treatment is most effective if started early, usually within a few hours after symptoms start—preferably at the first sign of tingling or discomfort, before blisters appear. For people who have frequent, painful attacks, the number of outbreaks can be reduced by taking antivirals every day indefinitely (called suppressive therapy). However, taking antivirals does not necessarily prevent infected people from transmitting the infection. Most antivirals are available by prescription only. Penciclovircream, applied every 2 hours during waking hours, can shorten the healing time and duration of symptoms of a cold sore by about a day. Nonprescription creams containingdocosanol(applied 5 times a day) may provide some relief.Acyclovir,valacyclovir, orfamciclovirtaken by mouth for up to a few days may be the most effective treatment for recurring cold sores. Severe HSV infections, including Encephalitis and People with Herpes Simplex Keratitis may be given For people who have minimal discomfort, the only treatment needed for recurring herpes of the lips or genitals is to keep the infected area clean such as by gentle washing with soap and water. Applying ice may be soothing and reduce swelling. Applying prescription or nonprescription topical anesthetics, such asbenzocaine, may help relieve pain. If the mouth contains many sores, the mouth can be rinsed withlidocaine. These anesthetics should not be swallowed. Topical anesthetics should only be taken as directed. If taken more often than directed, these medications can have harmful side effects. Pain relievers may be taken for pain. 