The treatment of herpes
For the best benefit in the treatment of herpes it is recommended that timely therapy treatment is begun from the first 72 hours of onset. Antiviral therapy should still be used if patient doesn’t seek help until after 72 hours.
It is good to note that therapy in comparison to untreated HSV will have a large impact by decreasing the duration and intensity of HSV with less drug effects. There are three medications that are used in the treatment of herpes: acyclovir which is less expensive, valacyclovir which isn’t used as much and famciclovir. Treatment duration typically lasts 7 to 10 days.
The CDC (Centers for disease control) recommends the following treatment regimes. Acyclovir: 400 mg by mouth three times per day or 200 mg by mouth five times per day OR Famciclovir: 250 mg by mouth three times daily OR Valacyclovir: 1000 mg by mouth twice daily. Treatment would comprise one of the previous listed medication regimes.
There are several approaches to treating recurrent HSV disease.
1) Chronic suppressive therapy: This strategy involves the administration of daily antiviral therapy, which may be most appropriate for those with very frequent recurrences or HSV-seropositive patients with uninfected sexual partners.
2) Episodic therapy: This approach involves self-administered antiviral therapy for individual outbreaks as they arise. Patients should be counseled to start therapy at the very first sign of prodromal symptoms(tingling, paresthesias, pruritis), which may occur prior to onset of discrete lesions.
3) No intervention: no therapeutic intervention may be appropriate for some patients, particularly those with infrequent episodes and/or minimal symptoms.
Quality of life: Life is much better or superior when utilizing chronic suppressive therapy day in day out. No series drug toxicities where shown over a 48 week period with patients taking 500 mg of valacyclovir daily for suppressive therapy. In comparison to episodic therapy, suppressive therapy over 48 weeks resulted in a 78 percent lower recurrence rate. Back to previous from the treatment of herpes