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GENITAL HERPES TREATMENTS

 
There is no cure for herpes virus infections. There are antiviral drugs available which have some effect in lessening the symptoms and decreasing the length of herpes outbreaks. There is evidence that some may also prevent future outbreaks. These antiviral drugs work by interfering with the replication of the viruses and are most effective when taken as early in the infection process as possible. For the best results, drug treatment should begin during the prodrome stage before blisters are visible. Depending on the length of the outbreak, drug treatment could continue for up to 10 days.

Acyclovir (Zovirax) is the drug of choice for herpes infection and can be given intravenously, taken by mouth (orally), or applied directly to sores as an ointment. Acyclovir has been in use for many years and only five out of 100 patients experience side effects. Side effects of acyclovir treatment include nausea, vomiting, itchy rash, and hives. Although acyclovir is the recommended drug for treating herpes infections, other drugs may be used including famciclovir (Famvir), valacyclovir (Valtrex), vidarabine (Vira-A), idoxuridine (Herplex Liquifilm, Stoxil), trifluorothymidine (Viroptic), and penciclovir (Denavir).

Acyclovir is effective in treating both the primary infection and recurrent outbreaks. When taken intravenously or orally, acyclovir reduces the healing time, virus shedding period, and duration of vesicles. The standard oral dose of acyclovir for primary herpes is 200 mg five times daily or 400 mg three times daily for a period of 10 days. Recurrent herpes is treated with the same doses for a period of five days. Intravenous acyclovir is given to patients who require hospitalization because of severe primary infections or herpes complications such as aseptic meningitis or sacral ganglionitis (inflammation of nerve bundles)

Patients with frequent outbreaks (greater than six to eight per year) may benefit from long term use of acyclovir which is called "suppressive therapy." Patients on suppressive therapy have longer periods between herpes outbreaks. The specific dosage used for suppression needs to be determined for each patient and should be reevaluated every few years. Alternatively, patients may use short term suppressive therapy to lessen the chance of developing an active infection during special occasions such as weddings or holidays.

There are several things that a patient may do to lessen the pain of genital sores. Wearing loose fitting clothing and cotton underwear is helpful. Removing clothing or wearing loose pajamas while at home may reduce pain. Soaking in a tub of warm water and using a blow dryer on the "cool" setting to dry the infected area is helpful. Putting an ice pack on the affected area for 10 minutes, followed by 5 minutes off and then repeating this procedure may relieve pain. A zinc sulfate ointment may help to heal the sores. Application of a baking soda compress to sores may be soothing.

Neonatal herpes

Newborn babies with herpes virus infections are treated with intravenous acyclovir or vidarabine for 10 days. These drugs have greatly reduced deaths and increased the number of babies who appear normal at one year of age. However, because neonatal herpes infection is so serious, even with treatment babies may not survive, or may suffer nervous system damage. Infected babies may be treated with long term suppressive therapy.

Alternative treatment

An imbalance in the amino acids lysine and arginine is thought to be one contributing factor in herpes virus outbreaks. A ratio of lysine to arginine that is in balance (that is more lysine than arginine is present) seems to help the immune system work optimally. Thus, a diet that is rich in lysine may help prevent recurrences of genital herpes. Foods that contain high levels of lysine include most vegetables, legumes, fish, turkey, beef, lamb, cheese, and chicken. Patients may take 500 mg of lysine daily and increase to 1,000 mg three times a day during an outbreak. Intake of the amino acid arginine should be reduced. Foods rich in arginine that should be avoided are chocolate, peanuts, almonds, and other nuts and seeds.

Clinical experience indicates a connection between high stress and herpes outbreaks. Some patients respond well to stress reduction and relaxation techniques. Acupressure and massage may relieve tiredness and stress. Meditation, yoga, tai chi, and hypnotherapy can also help relieve stress and promote relaxation.

Some herbs, including echinacea (Echinacea spp.) and garlic (Allium sativum), are believed to strengthen the body's defenses against viral infections. Red marine algae (family Dumontiaceae), both taken internally and applied topically, is thought to be effective in treating herpes type I and type II infections. Other topical treatments may be helpful in inhibiting the growth of the herpes virus, in minimizing the damage it causes, or in helping the sores heal. Zinc sulphate ointment seems to help sores heal and to fight recurrence. Lithium succinate ointment may interfere with viral replication. An ointment made with glycyrrhizinic acid, a component of licorice (Glycyrrhiza glabra), seems to inactivate the virus. Topical applications of vitamin E or tea tree oil (Melaleuca spp.) help dry up herpes sores. Specific combinations of homeopathic remedies may also be helpful treatments for genital herpes.
GENITAL HERPES RELATED ITEMS
GENITAL HERPES DEFINITION
GENITAL HERPES DESCRIPTION
GENITAL HERPES CAUSES
GENITAL HERPES SYMPTOMS
GENITAL HERPES DIAGNOSIS
GENITAL HERPES TREATMENTS
GENITAL HERPES PROGNOSIS
GENITAL HERPES INFORMATION
GENITAL HERPES PREVENTION
 


 


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