Quick Reference Treatment Options
Immediate Actions During Cold Sore Outbreaks
The first 48 hours are crucial for cold sore management. When you feel the initial tingling or burning sensation, this is the optimal time to begin treatment. Antiviral medications like aciclovir work most effectively when started during this early stage, potentially reducing outbreak duration by 1-2 days.
MHRA-Approved Antiviral Treatments
Aciclovir remains the first-line treatment for cold sore outbreaks. Available as 400mg tablets, the typical dosage involves taking one tablet five times daily for five days. This prescription antiviral may help reduce viral replication and outbreak severity. EverydayMeds stocks aciclovir 400mg tablets alongside topical aciclovir 5% cream for localised application.
Valaciclovir offers an alternative antiviral option with twice-daily dosing, which some patients find more convenient. Both medications require prescription and consultation with a healthcare professional.
Topical Treatment Options
Aciclovir 5% cream provides localised treatment when applied directly to affected areas. The cream should be applied five times daily during waking hours, starting as early as possible after symptom onset. This topical approach may be suitable for those preferring external application over oral medication.
Supporting Recovery Measures
Alongside antiviral treatment, several measures may support natural healing. Keep the affected area clean and dry, avoid touching the cold sore unnecessarily, and consider using lip balm with SPF to protect against sun exposure. Pain relief medications like paracetamol or ibuprofen may help manage discomfort during outbreaks.
Prevention Strategies
Identifying personal triggers helps prevent future outbreaks. Common triggers include stress, illness, sun exposure, and hormonal changes. Maintaining good overall health, managing stress levels, and using sun protection on lips may reduce outbreak frequency. Those experiencing frequent recurrences should consult their GP about suppressive antiviral therapy options.






