What should I do about herpes?
Aug 04, 2022
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
For herpes infection, antiviral therapy should be initiated promptly—commonly with oral acyclovir, ganciclovir, or famciclovir for approximately one week. In severe cases, early intravenous administration of adequate doses of sodium phosphonoformate (foscarnet) may be required. Additionally, herpes infections frequently trigger postherpetic neuralgia; thus, neurotrophic treatment is essential—either oral or intravenous methylcobalamin may be administered to support nerve recovery.
Many people are believed to have experienced complications caused by herpes infections at some point in their lives, which can significantly impact patients’ health. Herpes is caused by viral infection and includes conditions such as herpes simplex, herpes zoster (shingles), and genital herpes. These different types of herpes manifest with distinct symptoms—so what should one do when afflicted with herpes?
What to Do When You Have Herpes
Firstly, antiviral therapy should be initiated promptly upon diagnosis. Commonly prescribed oral antiviral agents include acyclovir, ganciclovir, and famciclovir, typically administered for approximately one week. In severe cases, early intravenous administration of adequate doses of sodium phosphonoformate (foscarnet) may be required. Secondly, herpes infections frequently trigger post-herpetic neuralgia—a type of neuropathic pain resulting from nerve inflammation. Therefore, oral or intravenous administration of mecobalamin is recommended to support nerve repair and nourishment. Thirdly, herpes often causes varying degrees of pain; accordingly, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen—or, in certain cases, loxoprofen—may be prescribed orally based on the patient’s clinical condition and appropriate dosing.
Herpes is primarily caused by infection with herpesviruses. Common causative pathogens include the varicella-zoster virus (VZV), which spreads via the gastrointestinal tract, direct contact, or respiratory droplets. There are multiple types of herpes, and the incidence rates vary slightly depending on the specific herpesvirus involved. For instance, herpes simplex virus (HSV) infection may be triggered by common colds or febrile illnesses. Clinically, it presents as clusters of vesicles accompanied by pruritus and pain. Individuals with compromised immune function are particularly susceptible to infection.
Patients are advised to ensure adequate rest, maintain relaxation, avoid spicy or greasy foods, abstain from alcohol and tobacco, and refrain from staying up late.
