Herpes Infections - Treatment

There is no cure for herpes virus infections. However, there are antiviral drugs that can relieve some symptoms of these infections. Antiviral drugs interfere with the growth of viruses. They work best when used as early in an infection as possible. For the best results, treatment should begin during the prodrome stage of infection. Antiviral drugs may also prevent future outbreaks of cold sores or genital herpes.

The preferred antiviral for treatment of herpes infections is acyclovir (trade name Zovirax). The drug is most effective when injected directly into the bloodstream or taken orally (by mouth). It can also be used as a lotion and applied directly to sores, but it is less effective when used this way.

Treatments are also available to relieve the symptoms of herpes infections. Patients with cold sores should avoid salty foods, citrus foods, and other foods that irritate the sores. The sores can be washed once or twice a day with warm, soapy water. Over-the-counter medications that contain the chemical phenol can provide some relief too. Blistex Medicated Lip Ointment is an example of this kind of medication. Aspirin, acetaminophen, or ibuprofen can also be used to relieve the pain of cold sores. Children, however, should not take aspirin as it can cause Reye's syndrome (see Reye's syndrome entry).

There are several things a patient can do to reduce the pain of genital sores. Wearing loose-fitting clothing and cotton underwear is helpful. Soaking in a tub of warm water and using a blow-dryer set on the cool setting to dry the infected area may help. Putting an ice pack on the infected area for 10 minutes may also help relieve pain. A zinc sulfate ointment may help heal sores. Applying a baking soda compress to sores may be soothing.

Alternative Treatment

Some people believe that a contributing factor in herpes infections is an imbalance in amino acids. Amino acids are the building blocks from which proteins are made. The two amino acids thought to be involved in a herpes infection are lysine and arginine. Based on this theory, some practitioners recommend a diet rich in lysine to prevent the reoccurrence of cold sores. Foods rich in lysine include most vegetables, legumes (peas and beans), fish, turkey, and chicken.

Herbalists recommend a variety of herbs to protect against herpes infections. Echinacea and garlic are thought to strengthen the immune system. Members of the red algae family are believed to be effective in treating HSV1 and HSV2 infections. Some ointments and salves that may relieve the pain of herpes include zinc sulfate, lithium succinate, licorice, lemon balm, and peppermint.

Stress is thought to be one of the factors that bring on an attack of herpes. Some methods for relieving stress include acupressure, massage, meditation, yoga, tai chi, and hypnotherapy.