Herpes Simplex Labialis

Herpes simplex is a common viral infection that presents with localised blistering. If it affects the lips, it is called herpes simplex labialis.

Treatment?

Mild cases – spontaneously resolved within 2 weeks.

Case in Point:

IMG_1683

May 16, 2016 (3 days after start)

herpes_rj_16may19 (1)

May 19, 2016

herpes_rj_16may22 (1)

May 22, 2016 (Completely spontaneously resolved in 7 to 8 days time).

Medications:

Treatment with indifferent (zinc oxide and zinc sulfate), anesthetic, or antiviral cream has a small favourable effect on the duration of the symptoms, if applied promptly. This is also the case with oral antiviral medication.

http://www.cfp.ca/content/54/12/1683.full

Effective antiviral medications include acyclovir and penciclovir, which can speed healing by as much as 10%.

Harmenberg J, Oberg B, Spruance S (2010). “Prevention of ulcerative lesions by episodic treatment of recurrent herpes labialis: A literature review”.Acta Derm. Venereol. 90 (2): 122–30.

http://medicaljournals.se/acta/content/?doi=10.2340/00015555-0806

 

Zovirax (Aciclovir) cream 5% x 2 g (P636.20) – Apply 5x a day at 4-hourly intervals

Zovirax (Aciclovir)tablet 200mg x25 (P2,501.30) – 200mg 1tab every 4 hours 5 x/ day x 5 days

Valtrex (Valaciclovir) tablet 500 mg x 10 (P1666.80) – 2 gm bid for 1 day

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