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OverviewHerpes simplex, a common viral disease, is caused by two strains of the herpes simplex virus (HSV). The initial infection (primary stage) of oral herpes is generally asymptomatic and is acquired through person to person contact such as kissing. The stages of genital herpes are very similar to oral herpes with an initial stage that manifests with few symptoms and is less contagious.
For both genital and oral herpes, the dormancy period involves the virus "resting" within the nervous tissue around the initially infected area. Herpes is commonly diagnosed based upon the symptoms described above paired with frequent recurrence in the same area.
Once diagnosed with herpes, managing the disease includes caring for sores during outbreaks as well as preventing their recurrence. Since genital and oral herpes are extremely common in the United States, with an estimate of 45 million people or one out of every five infected, there are many places to turn for support. Viral infections or exacerbations are still the most difficult problem in medicine to date.
Mouth herpes is a kind of infection that occurs on the lips and mouth by herpes simplex virus.
Treatment for Mouth Herpes lesions can broadly be divided into two categories: anti-viral therapies that aim to accelerate healing of lesions as well as prevent recurrences, and non-specific treatments such as natural and home remedies which are meant to reduce symptoms associated with HSV lesions.
If the mouth herpes blisters erupt, make sure to keep them dry and clean to prevent spreading of bacterial infection. Avoid touching the sores as it can lead to spreading of virus to other parts of the body such as the genitals and eyes. Astringents and other drying cold-sore preparations containing camphor or phenol, available over the counter can be helpful in providing relief when applied during early stages.
One of the most effective home remedies for treatment of mouth herpes is to apply a preparation of black coffee without sugar directly on the sores to get instant relief.
Prepare a mixture using 5 drops of Eucalyptus oil and bergamot oil each and apply in on the sores to get relief. Mix lavender oil and bee wax with olive oil in a pot and cook for some time. Grate carrots and put them inside a soft cloth in the form of a wrap and apply directly on blisters. The drug known by its generic name, Acyclovir, belongs to the synthetic nucleoside analogues group of drugs used primarily to treat particular viral infections. Manufactured by GlaxoSmithKline and marketed as Zovirax, it comes in liquid, capsule and tablet forms. But acyclovir remains the oldest form of treatment for the herpes simplex 1 and simplex 2 viruses, or cold sores and genital herpes, which cause infections in those afflicted with HIV. When a virus takes over a living cell and reproduces itself, at the host cell’s expense, acyclovir is converted into an activated form by the same virus, enabling it to use acyclovir’s active form instead of the nucleoside which it normally uses in the manufacture of DNA; DNA is a crucial element in the replication of a virus. Simply put, cells which have been virally infected tend to absorb more of the acyclovir than their normal counterparts; therefore there is more conversion of it into active forms, a condition which helps prolong the anti-viral activity.
Acyclovir is not a curative treatment for viral infections but it can shorten the duration of the infections and lessen their possibility of developing into more serious medical conditions.
In initial cases of genital herpes, acyclovir helps reduce lesions and decreases severity and frequency of infections which are recurrent.
Depending on the severity of the genital herpes infection of an individual who has it for the first time, an oral dosage of acyclovir at 400mg thrice a day has been recommended by the CDCP or Center for Disease Control and Prevention; this dosage has to be ingested between seven and ten days.
The patient may then choose to have daily or episodic therapy; the former is also known as suppressive therapy. Patients who have existing conditions of HIV should take 400mg of oral acyclovir thrice a day between five and ten days.


While there haven’t been sufficient clinical studies on the use of acyclovir by pregnant women and subsequent adverse effects, nursing women are cautioned against ingesting acyclovir since this can be transferred to an infant as an excretion in breast milk. All prices provided on this website are estimates only and will vary depending on your insurance and location.
If you have had chicken pox during the initial stages of your life, then you are probably, at the risk of developing Shingles or Herpes Zoster disease, sometime later in your life. But, there is no need to panic, as this condition does not necessarily appear in all the people that have had chicken pox. The children who have had chicken pox, when they were less than one year old, or people who are above the age of fifty, are more prone to this disease than normal healthy people. Herpes Zoster is a painful condition of the skin, which causes blisters and rashes on the affected area. Due to some reasons, which are not yet very clear, this virus becomes active again after some time and causes Herpes zoster, leading to highly irritable and painful rashes, leading to equally painful blisters. In the beginning of this infection, you may feel tingling, pain and burning on some parts of your skin, which may later on develop rashes.
The treatment needs to be started within a time span of 72 hours, when the symptoms start appearing. Patients suffering from mild symptoms of Herpes Zoster may take analgesics by prescription or simply over the counter, to get relief from pain. Some doctors also prescribe anti-histamine tablets or anti-histamine lotions, to their patients. Patients can apply OTC lotions containing calamine, for example, Caladryl, on the skin for soothing effect. Corticosteroids are administered orally to the patients suffering from Herpes Zoster, to enhance their healing process.
Acyclovir, valacyclovir and famciclovir are the most commonly prescribed anti-viral drugs to the patients having Herpes Zoster virus.
These drugs have been so far considered the most standard treatment for Herpes Zoster and are administered during moderate as well as acute conditions. Also, staying away from stress and taking ample rest is recommended by the doctors, as your body is busy fighting off the virus and so, it requires complete rest. Herpes Zoster or Shingles is a condition that has no cure, and it wears off in 3 to 4 weeks, by itself. But, the above mentioned treatments are very effective in reducing the gravity of the situation and making it bearable. If diagnosed in initial stages, the treatments would become more effective and so, you may not have to go through that much of unbearable pain or irritation. Long-term prophylaxis of cold sores is indicated when you get cold sores frequently, at a rate of about 6 or more times per year. Ringpfiel was very attentive; she explained very clearly different treatments and their outcomes and gave me some alternatives I could choose from.
This virus is known to cause extremely painful sores on gums, lips, roof of mouth, tongue, inside cheeks, as well as on the neck and face. Consume a bland and soft diet to avoid irritating the blisters as well as the surrounding area. Also include abundant amounts of fruits and leafy vegetables in your diet to stay away from mouth herpes. Acyclovir is a prescriptive medication that prevents the division and multiplication of viruses responsible for said infections. When the active acyclovir is incorporated into a new virus in the DNA, production of DNA stops. Taking acyclovir for treatment of genital herpes can help reduce its severity or prevent it from further recurrences.
The latter is experienced as a painful rash which could develop several years after having had chicken pox with the reactivation of the virus.


For shingles, acyclovir helps reduce pain, shorten the duration for healing, and halts the formation of more lesions and further spread of the virus.
Acyclovir may be used intravenously for patients who have severe cases of genital herpes as well as those whose immune systems are compromised. Those who elected episodic therapy can choose to take acyclovir orally at 400mg thrice daily for a total of five days, 800mg thrice daily for a total of two days or 800mg twice a day for a total of five days. For suppressive therapy, the CDCP recommends 400mg of oral acyclovir twice daily; those who are already infected with HIV should take it between 400mg and 800mg two or three times daily.
Also, those who have weakened immune system, due to long term illness or medications are also at the risk of developing this condition. This condition is caused by the virus, varicella zoster, which also causes chicken pox. Actually, once a person has been infected by chicken pox, this virus goes to certain nerves of his body and lays in dormant or inactive stage for years.
Once these rashes start appearing, accompanied with other symptoms, like fever, headache and a persistent sense of malaise, you should rush to see your dermatologist.
Usually, this condition subsides in 2 to 4 weeks, but it is better to get treatment to reduce its severity and pain. OTC (over the counter) medicines like aspirin, acetaminophen and ibuprofen can be taken to reduce the pain in case, it is mild, but in severe cases, you may have to resolve to prescription drugs, like, morphine and other narcotics. These anti-histamine tablets when taken orally, reduce the itching and same effect is derived from local application of anti-histamine creams and lotions over the skin having Shingles.
These antibiotic lotions reduce the burning sensation and pain and promote drying of the blisters. Xylocaine or Lidocaine and nerve blocks are also applied externally, to reduce the pain and inflammation of infected parts. Patients can also take starch bath and colloidal oatmeal bath, which act as soothing agents for blisters, to get relief.
These anti-viral drugs help fight against the virus that causes this condition and are quite successful in shortening the duration of infection. It is a highly contagious disease, so you should keep your belongings to yourself and prevent direct physical contact with others. The most important step that should be taken in this regard is consulting your doctor, as soon as the symptoms start appearing, preferably within 24 hours. The potential side effects of daily oral medication must be considered with infrequent cold sores.
A similar condition, canker sores, is often confused with mouth herpes; but the truth is that it is not caused by HSV and occurs only inside the mouth, not on the skin. FDA (Food and Drug Administration) approved the drug for use against the virus known as varicella-zoster in the treatment of viral infections which caused shingles and chicken pox.
A study published last year, however, revealed that herpes strains which are resistant to acyclovir could develop over a certain period of time. Aside from acyclovir’s availability in 200 mg capsules, 400mg and 800mg tablets, and 200mg and 5ml liquid suspension, it is also available as a 50mg or 40ml injection, a 500mg and 1000mg powder and as 5% ointment. There have been reports of seizures, hepatitis, agitation, hypersensitivity reaction, muscle pain, and anemia, all of which must be reported to the patient’s doctor for advisement.
The external dust particles can make the condition worse and elongate the process of healing, so maintain your personal hygiene. Doctors have also prescribed acyclovir in the treatment of the Epstein-Barr virus which causes mononucleosis. In some instances, samples of representative lesions are taken and tested for the presence of the HSV1 or HSV2 virus.



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