A member asked:

I have a bad cold sore on my lip so i have taken 2 valacyclovir pills in 24 hours. i have both 86 and 87, unsure how much i should be taking or even which one. i am also using lysine as a topical ointment. i need it to heal as soon as possible?

3 doctors weighed in across 2 answers
Dr. Hunter Handsfield answered

Specializes in Infectious Disease

The recommended and most effective treatment for recurrent oral herpes (cold sore) is 2 grams of valacyclovir (four 500 mg tablets) twice, about 12 hours apart. Additional treatment beyond that has absolutely no effect in speeding healing. Lysine ointment has no effect at all. Good luck. (I don't know what you mean by "both 86 and 87"??)

Answered 11/19/2022

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"86" pills are 500 mg and "87" pills are 1gm. Take two of the 86's or one of the 87's at a time. You can take 1 gm twice a day until you start to see improvement, but it is unlikely the medication will significantly shorten an outbreak. Frequent outbreaks can be reduced by taking 500 mg twice daily on a regular basis. There are only anecdotal reports that lysine ointment is helpful.

Answered 11/19/2022

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