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Herpes treatment: practical steps to stop outbreaks and protect others
You can’t cure herpes, but you can treat it. Start fast and you’ll usually cut an outbreak’s pain, length, and chance of passing the virus on. Here’s what actually helps—no fluff, just things you can do right now or talk to your doctor about.
Medical treatments that work
Oral antivirals are the main tool: acyclovir, valacyclovir, and famciclovir. When taken early—ideally at the first tingle or blister—they reduce how bad an outbreak gets and how long it lasts. Doctors prescribe these for short outbreaks (episodic therapy) or as a daily pill (suppressive therapy) if you have frequent flares or want to lower transmission risk to a partner.
Topical options are limited. For cold sores (HSV-1) over-the-counter creams like docosanol can help a bit if applied early. For genital outbreaks, oral meds are far more effective than creams. If your first episode is severe, you have high fever, or symptoms spread to the eyes or brain area, seek medical care fast—IV antivirals or urgent treatment may be needed.
Testing: a swab from an active sore can confirm which virus type you have. Blood tests show antibodies and can tell if you've been exposed in the past, but they don’t pinpoint a recent infection precisely.
Self-care and ways to prevent spread
At home, focus on symptom relief and stopping spread. Use acetaminophen or ibuprofen for pain and swelling. Apply cool, clean compresses to soothe sores. Keep lesions dry and clean to avoid secondary infection. Avoid picking at blisters.
Avoid sex while you have symptoms and during the prodrome (tingling, burning, or unusual pain) because that’s when the virus is most contagious. Condoms lower but don’t eliminate risk, since herpes can shed from skin not covered by a condom. If you have frequent outbreaks and an ongoing partner, daily suppressive antiviral therapy can cut transmission risk substantially—talk this over with your clinician.
Watch triggers: stress, lack of sleep, strong sun exposure, fever, and certain illnesses commonly spark recurrences. Managing stress, using sunscreen on lips, and getting enough rest help reduce flare frequency.
If you’re pregnant, immunocompromised, or caring for a newborn, contact your healthcare provider about immediate testing and treatment options—herpes in these situations needs special handling.
Want next steps? If you suspect a new infection or have frequent outbreaks, get tested and ask about antiviral options. A short conversation with your provider can turn herpes from an emergency into a manageable condition you control.