Herpes Treatments

pharm girl Acyclovir is the generic of the prescription drug Zovirax. Acyclovir is used to treat the symptoms of chickenpox, shingles, herpes virus infections of the genitals, the skin, the brain, and mucous membranes (lips and mouth), and widespread herpes virus infections in newborns. Acyclovir is also used to prevent recurrent genital herpes infections. Although Acyclovir will not cure herpes, it does help relieve the pain and discomfort and helps the sores (if any) heal faster.

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Valtrex (valacyclovir hydrochloride) is the only once-a-day prescription medication proven to suppress future genital herpes outbreaks. Valtrex works by disrupting the process by which the herpes virus reproduces itself and spreads to other cells in the body. There is no cure for genital herpes, and no drug has been proven to prevent the spread of herpes to others. Use Valtrex to suppress herpes outbreaks or to treat them when they occur.

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Zovirax is a prescription cream medication that is effective in the initial phases of genital herpes and in the treatment of mouth ulcers and lip blisters caused by the herpes simplex virus.





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Famvir (famicyclovir) is an antiviral drug. Famvir slows the growth and spread of the herpes virus so that the body can fight off the infection. Famvir shortens the length of time that herpes symptoms are present.

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What is genital herpes?
How common is genital herpes?
How can I get genital herpes?
What are the symptoms of genital herpes?
Can genital herpes come back?
How do I know for sure if I have genital herpes?
What is the treatment for genital herpes?
Is there a cure for genital herpes?
Does genital herpes cause problems during pregnancy?
Can I breastfeed if I have genital herpes?
What can I do to prevent genital herpes?
What should I do if I have genital herpes?

What is genital herpes?



Genital herpes is a sexually transmitted disease caused by the herpes simplex viruses (HSV) type 1 and type 2. Most genital herpes is caused by HSV type 2.

Most people have no or minimal symptoms from HSV-1 or HSV-2 infection. When symptoms do occur, they usually appear as one or more blisters on or around the genitals or rectum. The blisters break, leaving ulcers or tender sores that may take up to four weeks to heal. Typically, another outbreak can appear weeks or months later.

Although the infection can stay in the body forever, the number of outbreaks usually decreases over a period of years. You can pass genital herpes to someone else even when you experience no symptoms.

How common is genital herpes?



About 45 million Americans, age 12 and older have genital herpes. It’s estimated that up to one million people become infected each year. Genital Herpes (HSV-2) is more common in women than men.

How can I get genital herpes?



Herpes is a virus that can be passed through sexual contact. You can get genital herpes by having sex with someone who has open sores and when someone has no sores. However, herpes is most contagious when a person has open sores. People with herpes should not have sexual activity when sores or other symptoms of herpes are present. HSV-1 can cause genital herpes, but it more commonly causes infections of the mouth and lips or “fever blisters.” Condoms can lower the chances of getting herpes. Along with condoms, Valtrex ®, a drug used to treat herpes, can help lower the chances of passing the virus during vaginal sex.

What are the symptoms of genital herpes?



The symptoms of genital herpes vary from person to person. Some people have severe symptoms, such as many painful sores, while others have mild symptoms. An initial outbreak of genital herpes usually brings about symptoms within two weeks of having sexual contact with an infected person and can last from two to three weeks. The early symptoms can include:

Within a few days, sores (also called lesions) show up where the virus has entered the body, such as on the mouth, penis, or vagina. Sores can also show up on a woman’s cervix, which is the opening to the uterus or womb, or in the urinary passage in men. The sores are small red bumps that may turn into blisters or painful open sores. Over a period of days, the sores become crusted and then heal without scarring.

Other later symptoms of genital herpes may include:

Some people may have no symptoms – but they can still spread herpes! Sometimes only very mild sores appear, but are mistaken for an insect bite or other skin problems. If you have HIV, a genital herpes infection can be worse.

If you have herpes, do not have any sexual activity with someone who does not herpes when you have sores or other symptoms of herpes. Even if you don’t have symptoms, you can still pass the virus to others.

 

Can genital herpes come back?



Yes. Herpes symptoms can come and go, but the virus stays in the nerve cells of your body even after all signs of the infection have gone away. In most people, the virus becomes “active” from time to time, creating an outbreak. Some people have herpes virus outbreaks only once or twice. Other people have many outbreaks of herpes each year. Scientists don't know what causes the virus to become active, but the number of outbreaks a person has tends to go down over a period of years. Some women say the virus comes back when they are sick, under stress, out in the sun, or during their period.

How do I know for sure if I have genital herpes?



Doctors can diagnose genital herpes by looking at visible sores if the outbreak is typical, and by taking a sample from the sore for testing in a lab. Herpes can be difficult to diagnose between outbreaks. Blood tests, which detect HSV-1 or HSV-2 antibodies, can help to detect herpes in people without symptoms or during the time between outbreaks.

What is the treatment for genital herpes?



There is no treatment that can cure genital herpes; the virus will always be in your body. Certain drugs such as acyclovir, valacyclovir, and famciclovir can shorten outbreaks and make them less severe, or stop them from happening. Depending on your needs, your doctor can give you drugs to take right after getting outbreak symptoms or drugs that you can take on a regular basis to try to stop outbreaks from happening. When used along with safe sex practices, Valacyclovir (brand name Valtrex ®) can also help prevent you from passing the infection to someone else. Talk to your doctor about which treatment plan is best for you.

During outbreaks, these steps can speed healing and prevent spreading of the infection to other sites of the body or to other people.

Is there a cure for genital herpes?



No. Once you have the virus, it stays in your body and there is a chance that you will have outbreaks. Medicine can shorten and stop outbreaks from happening.

Does genital herpes cause problems during pregnancy?



Yes. If the mother is having her first outbreak while she is pregnant, she is more likely to pass the virus to her baby. If the outbreak is not the first one, the baby's risk of getting the virus is very low. Babies born with herpes may be premature or may die, or they may have brain damage, severe rashes, or eye problems. Doctors may do a C-section to deliver a baby if the mother has herpes lesions near the birth canal to help prevent passing the virus. Also, acyclovir can help babies born with herpes if they are treated right away.

It is not yet known if all genital herpes drugs are safe for pregnant women to take. Some doctors may recommend acyclovir be taken either as a pill or through an IV (a needle into a vein) during pregnancy. Let your doctor know if you have genital herpes, even if you are not having an outbreak. He or she will help you manage it safely during pregnancy.

Can I breastfeed if I have genital herpes?



If you have genital herpes, you can keep breastfeeding as long as the sores are covered. Herpes is spread through contact with sores and can be dangerous to a newborn. If you have sores on your nipple or areola, the darker skin around the nipple, you should stop breastfeeding on that breast. Pump or hand express your milk from that breast until the sore clears. Pumping will help keep up your milk supply and prevent your breast from getting engorged or overly full. You can store your milk to give to your baby in a bottle at another feeding. If the parts of your breast pump that contact the milk also touch the sore(s) while pumping, you should throw the milk away.

What can I do to prevent genital herpes?



There are things you can do to protect yourself from getting genital herpes:

What should I do if I have genital herpes?



For More Information . . .



You can find out more about genital herpes by contacting the National Women's Health Information Center (800-994-9662) or the following organizations:

CDC Info, HHS
Phone: (800) CDC-INFO or (800) 232-4636

CDC National Prevention Information Network (NPIN), CDC, HHS
Phone: (800) 458-5231
Internet Address: http://www.cdcnpin.org

National Center for HIV, STD and TB Prevention, CDC, HHS
Internet Address: http://www.cdc.gov/std

National Institute of Allergy and Infectious Diseases
Phone: (301) 496-5717
Internet Address: http://www.niaid.nih.gov/publications/stds.htm

American Social Health Association’s National Herpes Resource Center and Hotline
Phone: (916) 361-8488
Internet Address: http://www.ashastd.org/hrc/index.html

Planned Parenthood Federation of America
Phone (800) 230-7526
Internet Address: http://www.plannedparenthood.org

This FAQ was reviewed by the Division of STD Prevention, Centers for Disease Control and Prevention.

May 2005

 

The National Women's Health Information Center is Sponsored by the
Office on Women's Health in the U.S. Department of Health and Human Services


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