Herpes….okay, let’s get it all straightened out..
Herpes simplex virus –there are two different strains. The first one is HSV-1 which typically causes cold sores and then HSV-2 which causes genital herpes. It is possible to transfer a cold sore to the genital area and transfer genital herpes to the lip area.
Genital herpes is a sexually transmitted disease. Over 22% of Americans have HSV-2. It is one of those STDs that can be spread through sexual touching (even without penetration). Condoms can help but do not protect 100%. Very important to know is that a person with HSV-2 can be contagious even without any obvious breakout.
Just a short point here…I was on a Q&A site on the internet and found a ton of questions about STDs. They would talk about HSV2 as though it is the plague but HSV1 as “just a cold sore.” The truth is HSV1 and 2 are not that different –except one is “caught” during sex. As a society, we do not talk about sex and STDs openly. Currently, for schools to get federal funding they need to teach an abstinence only program! Maybe if we spoke openly (instead of ignoring them) about these taboo subjects we could make a real difference in STD transmission. Alright, I am off my soap box, let’s go on… J
After becoming infected, symptoms usually start in 2-14 days. The first infection is usually the worse and can last for 2 to 3 weeks. There are usually pimple-like bumps that turn into blister-like vesicles that 90% of people say are painful. Flu-like symptoms may also occur (like fever, headache, body aches). Viral shedding (which is when it is contagious) goes on for about 12 days. Like most STDs, symptoms are often worse for women!
Once infected with the virus –it is there for life. The first year is usually the worse –averaging about 10 outbreaks. After that, the average person has 4 outbreaks in a year. However, some people get very few outbreaks throughout their lifetime. Some people have a “natural immunity” that can keep the virus under control. Stress, other sickness and some drugs can increase risk of recurrence.
The following outbreaks are usually less painful, less serious and shorter. They last an average of 7 to 10 days and viral shedding (when it is most contagious) is about 2 to 5 days.
Treatment for an outbreak:
· All treatments are antiviral prescription medications.
· It is best to start treatment with 72 hours of start of symptoms.
· Treatment within 72 hours has been proven to lessen length and severity of symptoms.
· All of the following drugs work equally as well…decision on which one to use is based on price and frequency of dosing.
First outbreak:
· Valtrex (valacyclovir) 1000mg twice daily for 7-10 days
o Available only in brand (generic is suppose to be released soon)
o This is exactly the same as acyclovir except it has easier dosing (twice a day versus three to five times)
· Famvir (famciclovir) 250mg three times daily for 7 -10 days
o Available in a generic
· Zovirax (acyclovir) 400mg three times a day or 200mg five times a day for 7 -10 days
o Comes in a generic and the 200 mg is currently on discount lists at a few retail pharmacies
Following outbreaks:
· Zovirax (acyclovir) 800mg three times a day for 2 days or 400mg three times a day for 3 to 5 days
· Famvir (famciclovir) 125mg twice daily for 3 to 5 days
· Valtrex (valacyclovir) 500mg twice daily for 3 days
Prevention of outbreaks:
· If a patient has regular outbreaks and they want to avoid them, antiviral medication can be taken on a daily basis.
· Zovirax (acyclovir) 400mg twice daily
· Famvir (famciclovir) 250mg twice daily
· Valtrex (valacyclovir) 500 mg or 1000mg once daily
Some studies have shown that OTC lysine daily can be helpful.
This is quite detailed info on the drugs but I thought it important –I have patients taking Valtrex and paying a lot of money when they could take acyclovir and pay 1/10 of the price. So, talk with your physician about it!
Do you know any herbal/home remedies to treat genital herpes? Please share –leave a comment or send an email at nova@getpharmacyadvice.com
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