infectious diseases
Genital Herpes
Treatment of Genital Herpes
Acyclovir,valacyclovir, orfamciclovir Genital herpes is treated with antivirals. Primary episodes and recurrences (reactivations) can be treated withacyclovir,valacyclovir, orfamciclovir. These medications reduce viral shedding and symptoms in severe primary infections. However, even early treatment of primary infections does not prevent recurrences. In recurrent eruptions, symptom duration and severity can be reduced marginally by antiviral treatment, particularly during the prodromal phase. Doses should be adjusted for renal insufficiency. Adverse effects are infrequent with oral administration but may include nausea, vomiting, diarrhea, headache, and rash. Topical antivirals have only little value, and their use is discouraged. Evaluation of sex partners of patients with genital herpes is important. 