The main goals of herpes medication treatment are to reduce discomfort, encourage rapid healing, and prevent complications. As soon as it is diagnosed, herpes zoster is treated with antiviral medication, which lowers the likelihood of post-herpetic neuralgia. The therapy of pain and inflammatory breakouts may benefit from corticosteroids. The confinement of the patient and the treatment of skin lesions are other elements of therapy. Patients must be confined in order to prevent nosocomial infections.
A virus-fighting agent
Acute herpes shingles are treated with antiviral such as
These medicines lessen discomfort, hasten to heal, and shield against post-herpetic neuralgia.
Within 72 hours of the appearance of the rash, antiviral medication should be initiated. It has been demonstrated that famciclovir works better than valacyclovir at easing the pain associated with acute herpes zoster. Using a 7-day famciclovir regimen, the soreness started to fade after 34 days. According to a study, in the past, oral acyclovir and valacyclovir were not associated with greater cases of acute renal impairment than famciclovir.
Corticosteroids in the System
Corticosteroid therapy is recommended in exceptional cases like acute zoster pain, Ramsay Hunt syndrome, and ocular sequelae. Combining corticosteroid therapy with an antiviral medication improves its effectiveness. The combination of acyclovir and corticosteroids has demonstrated excellent success in the treatment of herpes zoster in both adults and children. Early therapy also speeds up the recovery of hearing.
- Ramsay Hunt syndrome treatment with steroids and acyclovir improved facial nerve function. For adults over 50 herpes treatment with acyclovir and prednisolone has been shown to improve their quality of life.
- Acyclovir and prednisolone may help reduce the rash and other immediate symptoms of herpes zoster, but it is not clear if they will help prevent long-term pain from post-herpetic neuralgia.
When the treatment of Herpes should be given
- Initial treatment:
When genital herpes is first detected, a doctor may prescribe an antiviral medication for a short period of time (seven to ten days) to treat any existing symptoms or prevent them from worsening. If the sores have not healed after that period of time, the doctor may decide to extend your treatment. Talk to your doctor about the best way to take antiviral drugs after the first treatment has ended. Hereafter, two options exist:
- Intermittent treatment:
If the doctor recommends an antiviral medication for you to keep in your medicine cabinet, you are receiving intermittent treatment. As soon as you see sores or a probable eruption, you may take the pills for two to five days. The drugs may make the sores less painful and go away faster, but the healing and fading process will happen anyway.
- Suppressive treatment:
You might think about using an antiviral medicine on a regular basis if you encounter a recurrent herpes outbreak. Suppressive therapy is the phrase used by medical professionals. In those who have more than six outbreaks annually, suppressive medicine has the potential to reduce the frequency of outbreaks by 70% to 80%. People who take antiviral drugs regularly often say that they never feel sick from the virus they are treating.
Pregnancy and Herpes Shingles Treatment
Acyclovir or valacyclovir can be used to treat herpes zoster while a woman is pregnant.
Acyclovir is the drug of choice (DOC) in early pregnancy because it lowers the risk of birth defects and birth before 37 weeks.
- A 28-week pregnant woman who was treated for herpes zoster neuralgia with acyclovir and acetaminophen gave birth to a healthy child two months later.
- A 17-week pregnant woman with herpes shingles discovered that Valacyclovir was well tolerated by a 17-week pregnant woman with herpes zoster.
Newborns whose moms have varicella or herpes shingles should get varicella zoster immune globulin between 5 days before and 2 days after giving birth. Even if the mother has experienced these issues in the past, this is still true.