Medicines and Products for Herpes

Herpes treatment is based on antiviral medicines that your doctor prescribes. They reduce the length and severity of an episode, but they do not remove the virus from the body.

Antiviral medicines

• Aciclovir (acyclovir), valaciclovir and famciclovir are the commonly used options.
• They work best when started early, ideally within 72 hours of the first symptoms.
• For frequent recurrences, doctors may suggest daily suppressive therapy, which also lowers the chance of passing on genital herpes.
• Dose and duration depend on the type of infection, age, kidney function and pregnancy.

Other products

• Topical antiviral creams have small benefit for cold sores.
• Pain relief with paracetamol or ibuprofen if safe for you.
• Lidocaine gel may be suggested for sore areas by a doctor.
• Shingles vaccine is recommended for older adults and some at-risk adults in many countries. Ask your doctor.

Safety

• Do not use steroid creams on suspected herpes sores.
• Never put eye medicines or home drops in the eye without a doctor.
• Pregnant women need doctor advice before any medicine. Antivirals are often used, but under supervision.
• Dose adjustment is needed with kidney disease.

Ayurvedic and herbal products

Evidence that they treat herpes is limited. Use them only as an adjunct, and tell your doctor.

Key point

Do not self-medicate with leftover antivirals. Get a diagnosis and a proper dose.

Before your appointment

Note when the first symptoms began, where the sores or rash are, and any fever or pain. List past episodes, triggers, partners who should know, and any pregnancy. Bring your medicines and past reports, including HIV or STI tests. Ask about antiviral options, how to protect others and the warning signs that mean you should call 112 or 102.