What are the treatment options for cold sores?
Most cases of cold sore outbreaks will clear up within one to two weeks without any treatment. Some ointments and antiviral medications may slightly shorten the duration of the outbreak and alleviate discomfort and pain. • Antivirals – OTC (over-the-counter, no prescription required) cold sore antiviral creams can shorten the duration of a recurrent infection if used properly. Most creams contain either acyclovir or penciclovir (Zovirax, Soothelip). They are only effective if applied as soon as symptoms appear – right at the beginning, when the tingling sensation occurs and the individual knows a cold sore is about to come. The cream needs to be applied up to five times daily for 4 to 5 days for best effect. These creams cannot prevent future occurrences – they do not eliminate the virus. • Patients with weakened immune systems – there is a risk of complications for patients undergoing chemotherapy, or those with HIV; the infection may spread to other parts of the body, including the e