Herpes

Genital Herpes Forum

Herpes Treatment: Acyclovir

    Acyclovir was invented by Gertrude Elion and George Hutchings
    who together received the Nobel Prize in 1988. Acyclovir has been
    available for over a decade and the most common brand name is
    Zovirax,
    manufactured by GlaxoSmithKline

    Acyclovir is an antiviral agent used to treat different types of
    Herpes viruses like

    • Herpes Simplex 1: Causes Oral Herpes also known as
      cold sores
    • Herpes Simplex 2: Causes Genital Herpes
    • Varicella Herpes Zoster: Causes shingles and
      chickenpox
    • Epstein-Barr virus (mononucleosis)

    Acyclovir can't cure any Herpes viruses. There is no cure for any
    Herpes viruses. Once you've caught a Herpes virus it stays in your
    body for life although it is latent most of the time. Acyclovir
    can treat the outbreaks and symptoms of Herpes as well as reduce
    future outbreaks of some Herpes viruses.

    Episodic Treatment of Herpes Simplex 1

    Acyclovir is often used to treat Oral Herpes caused by Herpes
    Simplex 1. Episodic treatment means you treat when there is symptoms.
    Most common is the Zovirax cream which is available over
    counter in pharmacies and is used when there is an outbreak. When
    you use the cream you should try to use it as soon as you feel any
    irritation around the mouth prior to an outbreak because that will
    have the best effect. Be careful when you use the cream:

    • Do not use your fingers to apply the cream, use a cotton
      bud
    • Wash your hands first
    • Avoid touching the tip of the cotton bud
    • Do not dip the cotton bud more than once in the cream,
      use several if needed

    This may seem a little exaggerated but you avoid cross contamination
    which may slow down or even eliminate the effects of the cream. You should
    apply the cream several times (2-4) a day for full effect. The
    cream will reduce the frequency, duration and severity of outbreaks as
    well as reduce the risk of future outbreaks and the risk of spreading.

    Episodic Treatment of Herpes Simplex 2

    Acyclovir is available as a prescription tablet used to treat
    Genital Herpes. The dosage will be determined by your doctor.
    It is very common to prescribe a 5 day course of 3 tablets a day
    taken with 4 hour intervals, but this may vary. It is very important
    that you don't mis any doses as you need to keep the level of Acyclovir
    up in your body. This episodic treatment will reduce the severity,
    frequency and duration of your outbreak as well as reduce future outbreaks
    and reduce the risk of spreading.

    Suppressive treatment of Herpes Simplex 2

    If you experience severe outbreaks of Genital Herpes more than
    6 times a year, you may consider asking your doctor about suppressive
    treatment with an antiviral agent, for example Acyclovir. There is a
    risk of developing resistance to Acyclovir so suppressive treatment
    should only be considered in svere cases and only as long as needed.
    Suppressive treatment with Acyclovir means that you take an Acyclovir
    tablet once every day for 6 or 12 months to prevent outbreaks. You
    should see a doctor after you finish a course of Acyclovir to evaluate
    the effects.

    Treatment of Chickenpox

    In severe cases of chickenpox, your doctor may prescribe Acyclovir
    tablets or another antiviral agent to fight the Varicella Herpes
    Zoster virus that causes chickenpox. Acyclovir will reduce healing time,
    limit the number of lesions and reduce fever and pain if administered
    within 24 hours of the first symptoms.

    Treatment of Shingles

    In most cases of shingles, your doctor will prescribe Acyclovir
    tablets or another antiviral agent to fight the Varicella Herpes
    Zoster virus that causes chickenpox. Acyclovir will reduce healing
    time, limit the number of lesions and reduce fever and pain if
    administered within 24 hours of the first symptoms as well as reduce
    the risk of Post-Herpetic Neuralgia.

    Precautions

    There are rarely any side effects of Acyclovir, but these have
    been registered:

    • Nausea
    • Vomiting
    • Headache
    • Skin rash

    If you are pregnant, breast feeding or you have any drug allergies
    or you have impaired renal function or you take any
    other drugs or you have other illnesses you should inform your doctor
    before you get a prescription for Acyclovir

    Why not ask your question in our Public Q&A Forum? We'd be glad to hear from you and will try to help as best we can ;-)

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