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The bad news: herpes is still forever. The good news: new treatments have made this increasingly common viral condition easier to manage.

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If you have herpes simplex virus (HSV), you're not alone: one in six Americans also has it. While there’s no way to get rid of herpes, there are things you can do to relieve the discomfort experienced during an outbreak, reduce the duration of your symptoms, prevent spread of the virus to other parts of your body, and even reduce the frequency of outbreaks.

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Medical Therapies

The Federal Drug Administration (FDA) has approved several anti-viral medications that can disrupt the virus’ ability to reproduce, thus reducing the frequency and intensity of herpes outbreaks.

The most effective of them - Valtrex (Valacyclovir)

Valcivir (Valtrex®) uses acyclovir as its active ingredient, but is absorbed better and can be taken less often than Zovirax: twice a day for five days during an outbreak. Valtrex is available in capsules or tablets. The most common side effects are headache and nausea. Valtrex is intended for adults with normal immune systems; if you have advanced HIV disease, or a bone marrow or kidney transplant, make sure to tell your doctor.

Remember that medical therapies do not prevent the spread of herpes to others. For effective prevention, always use condoms with a spermicidal agent containing nonoxynol-9, and avoid sexual contact during an outbreak.


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Episodic Therapy

Many people choose to take medication only during an outbreak, a practice known as episodic therapy. At the first sign of an outbreak (itching, tingling or the appearance of blisters), your doctor can prescribe one of the three available medical therapies. The medication will help speed healing of the blisters, reduce the symptoms and prevent spread of the virus to other parts of the body. After the first outbreak, it is a good idea to have a filled prescription on hand so you can begin taking your medication immediately.

Many people don’t experience recurrence of symptoms after the initial outbreak, or they have a very low incidence of outbreaks. If this is the case, episodic therapy may be a good choice of treatment.

Suppressive Therapy

Suppressive therapy involves taking one of the three medications daily as a preventative measure. Many people practicing suppressive therapy have experienced reduced symptoms and less frequent outbreaks—or the abatement of outbreaks altogether. Another key benefit of suppressive therapy is its reduction of asymptomatic shedding, which can cause spread of the virus to others, even when HSV+ people aren’t experiencing symptoms.

Be aware that suppressive therapy isn't a proven preventative remedy for herpes. While studies have shown suppressive therapy to be effective for periods of up to six months, there is no data on the safety or effectiveness of suppressive therapy longer than one year. Continued daily doses of medication can reduce the effectiveness of future episodic therapy. Scientists are still determining whether ongoing antiviral medication can help prevent transmission of HSV to others.

Suppressive therapy might be a good alternative for people with frequent or severe outbreaks. Because of their high absorption rates, Valtrex and Famvir are good choices for suppressive therapy. Consult your doctor to determine which medication is right for you.

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Valtrex is available over the counter in USA, Canada, France, Spain, Italy, United Kingdom and Australia.

Alternative Therapies

While medical therapies can give patients more options for recovery and a sense of control over their bodies, many HSV+people choose not to take medication at all, but instead prefer a more holistic approach.

Take Care of Yourself

Your body needs extra resources when your immune system is hard at work. Stay in good health: get plenty of rest, exercise regularly and eat balanced meals. Avoid coffee and foods rich in arginine (an amino acid) such as chocolate, soybeans and peanuts.

Practice cleanliness. Always keep affected areas clean and dry. Change your underwear daily and wash bath towels frequently Warm baths can alleviate stress and reduce symptoms of HSV; however, because herpes is so easily spread, baths are not advisable during outbreaks.

Hydrocortisone creams can actually make matters worse. Avoid applying them, and any other creams or skin products, to affected areas.

Manage Stress

Most doctors believe stress can cause repeated herpes outbreaks. In addition to the common-sense suggestions above, find effective ways to manage your stress. Meditation, yoga and journal writing are all good ways for dealing with regular daily stress. See a therapist for any major problems.

Natural Remedies

Dietary supplements and herbal extracts, including lysine, can be extremely helpful in treating and preventing herpes outbreaks. However, keep in mind that these products have not been medically proven to affect HSV. Before taking any natural remedies, consult your physician.

Herpes & Pregnancy

It has long been believed that pregnant women with genital herpes should have a caesarian section to avoid transmitting herpes to their babies. An infant with herpes can experience eye or throat infections, damage to the central nervous system, mental retardation or death.

However, doctors are now advocating natural birth for most HSV+ women, provided they have had herpes long enough to have built up some immunity to the virus and are not actively experiencing symptoms at the time of birth. The spread of herpes to newborn infants is rare, and less than .01% of babies get neonatal herpes. In fact, most mothers with a history of herpes have normal vaginal deliveries.

Stay Tuned...

It may sound like a cliché, but scientists are making great strides toward finding a way to permanently manage herpes. In the last few years alone, suppressive therapy has gone from a theory to a reality for many HSV+ people, and researchers report they are close to finding a vaccine. While it may not be possible to cure herpes altogether, a real solution for prevention should be available soon. Communicate with your doctor on a regular basis, and stay informed.