Doctor insights on:
Cold Sore Prodrome
I kissed my bf and gave oral sex briefly 5 days after my cold sore healed. I woke up the next day with prodrome and now have a new sore. What are the %risk to transmit to oral and/or genital hsv1?
Depends: If you have herpes type 1, your boyfriend is probably already infected as most adults are. If you want to know there is a blood test.Most infected people have no symptoms. Those who have symptoms are contagious between attacks but more contagious at the onset of an attack. Pills are used to control symptoms and reduce transmission of the virus. You need a prescription. ...Read moreSee 2 more doctor answers
You don.t: The only effective remedy is a pill which you take at the very first tingling (prodrome) before a sore is established. So you need to get the prescription, carry the med, be prepared to take it immediatly as soon as you think you feel it coming. Valacyclovir is dosed at 2grams ( 2 pills) and has no toxicity. Once you have a sore it does not matter what you do.It will heal in about a week. Sometime. ...Read moreSee 1 more doctor answer
NO: But it will not hurt. The best way to get a cold sore to heal faster is to take prescription valacylovir 2 grams or Acyclovir 4000-8000mg at the very first tingling (prodrome) warning that a cold sore is coming. The longer the delay the less effective it is, so you need to have it handy for immediate use. Forget about any creams: they don't do much. Forget about lysine because it does nothing. ...Read moreSee 2 more doctor answers
4 Basic Steps: Prodrome- itching, tingling, burning. Vesicle Formation- blisters arise on lip or skin. Ulceration- blisters pop and ulcers form. Healing- ulcers resolve which can take a week or more. Medication such as Valtrex can lessen the severity if taken during prodrome. Laser treatment can speed healing as well.- http://www.laserdentistbaltimore.com/mouth-ulcer-and-cold-sore-laser-treatment/ ...Read moreSee 1 more doctor answer
My cold sore went away a week ago and It left 3 small pinkish bumps that won't go away. What should I do?
Nothing: Give it some time. None of the creams are as effective as prescription valacyclovir or Acyclovir pills taken at the very onset (prodrome) of the next attack. Get your prescription now so you will be prepared to take (usually 2 Grams) at the first tingling next attack. It is very safe. ...Read more
No: These are common. Often the trigger is unknown. The most common is sun damage [UV]. Also provoked by fever or by minor injury to the area. Best therapy for occasional attacks is Valacyclovir 2G taken immediately at first tingling [prodrome] of next attack. It is a prescription but entirely safe. If not treated the first day, any treatment is a waste of money. Will heal in about a week anyway. ...Read more
Prodrome: The length of the tingling of an oncoming outbreak of oral herpes called the prodrome varies but is generally 24-48 hours. This is the time you need to take the meds your md or dentist can give you to prevent a full outbreak (pills or cream) so it;s best to have it on hand. Most do not mind giving you a script for it if you ask and if they won't you might consider a different doctor. ...Read more
A few choices: There are several prescription medicines both creams (known as topicals) and pills. The key with any treatment is to start the treatment during the period called the prodrome, usually a tingling sensation that lets you know you are about to get a cold sore. The sooner the better is the key to treat any viral infection. Valacylovir (valtrex) taken as 2 doses 12 hours apart works very well. ...Read moreSee 1 more doctor answer
Pills: Valacyclovir is usual. Acyclovir cheaper but may be more difficult to use and less effective. For occasional episodes of recurrent herpes 2 gram [2 pills] taken immediately, preferably at first tingling prodrome, will ameliorate or even abort an attack. For frequent attacks we use 500mg valacyclovir daily to prevent attacks Various creams are available but not worth discussion because of meagre re ...Read more
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