Cold Sores: Quick Reference Guide & Treatment

Cold sores are common viral infections affecting up to 70% of UK adults. These fluid-filled blisters, caused by herpes simplex virus (HSV-1), typically appear around the lips and heal within 7-10 days. Early treatment with antiviral medications like aciclovir can help reduce symptoms and speed recovery. Understanding the stages and treatment options may help you manage outbreaks more effectively.

  • Cold sores are caused by herpes simplex virus type 1 (HSV-1)
  • Initial symptoms include tingling, burning, or itching sensations
  • Antiviral treatments work best when started within 24-48 hours
  • Complete healing typically takes 7-10 days without treatment
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Available Treatments

Choose from a wide range of clinically-proven, safe, and effective treatments for Cold Sore.

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Aciclovir Tablets

From £12.99

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Aciclovir 5% Cream

From £8.99

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Valaciclovir

From £18.99

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Valtrex

From £34.99

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Understanding Cold Sore Development & Treatment Options

The Five Stages of Cold Sore Development

Cold sores progress through distinct stages, each lasting 1-3 days. The initial tingling stage offers the best window for treatment, as starting antiviral medication early may reduce outbreak severity. During the blister stage, small fluid-filled bumps appear, followed by the weeping stage when blisters burst and become most contagious. The crusting stage sees scab formation, whilst the healing stage involves gradual recovery.

Antiviral Treatment Options

Aciclovir tablets represent the most commonly prescribed treatment for cold sores. This antiviral medication works by preventing the herpes virus from reproducing, potentially shortening outbreak duration when taken promptly. EverydayMeds stocks aciclovir 400mg tablets alongside topical aciclovir cream for localised treatment. Alternative options include valaciclovir tablets, which may offer more convenient dosing schedules.

When to Seek Treatment

Consider antiviral treatment if you experience frequent outbreaks (more than 6 per year), severe symptoms, or if cold sores significantly impact your daily activities. Prescription antivirals may be particularly beneficial for those with compromised immune systems or during important events where rapid healing is desired. Treatment effectiveness depends largely on timing, with best results achieved when started during the initial tingling phase.

Managing Symptoms at Home

Whilst antiviral medications address the underlying viral infection, supportive care can ease discomfort. Keep the affected area clean and dry, avoid touching or picking at blisters, and consider over-the-counter pain relief if needed. Cold compresses may provide temporary relief from pain and swelling. Remember that cold sores are highly contagious, particularly during the weeping stage, so avoid close contact and sharing items like towels or utensils.

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