[Question #5288] outbreak questions

24 months ago
If someone in my family has an oral outbreak (both parents have oral herpes) would that trigger me to have an outbreak I have both oral and Genital  herpes,  for example if I use the same utensils they used when they had an outbreak or touch something they touched after they touched their sore  (door knob, cellphone etc) or say they showered with and active cold sore touched the sore and then touched the handles and then I take a shower, touch the handles and then my vagina, would any of that cause me to have an outbreak? Or does it not matter because I already have the virus and only my own triggers will cause an outbreak?! I wipe down EVERYTHING with medical grade wipes it’s getting to the point we’re it’s affecting my life because I think anything I touch could have the “herpes” virus on it and cause me to have an outbreak.

Also If I have an outbreak on my lip/mouth do I need to buy all new tooth brushes so I don’t have another outbreak, this sounds crazy but I buy all new bed sheets, pillow sheets, tooth brush EVERYTHING that could possibly come in contact with either my saliva or cold sore during an outbreak in the assumption that it will cause me to have another outbreak if my sore heals and I retouch/use the object again after it has been “infected” with the active cold sore.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
You would not acquire herpes from using utensils that other people use, who have oral herpes.  And since you already have HSV 1, this is a completely moot point.  I would encourage you to stop wiping down everything with medical grade wipes.  It sound to me like you are bordering on, if not into, full blow obsessive compulsive behavior about your oral herpes.  I would strongly encourage you to seek counseling about this from a cognitive behavior therapist  - this type of thing is their strong area of expertise.

It is completely not necessary to buy anything new following a cold sore outbreak.  Your outbreaks are not due to contact with anything that has herpes virus on it or in it - they are due to fluctuations in your immune response to the virus or exposure to triggers, like sunlight.

Terri
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24 months ago
After all of this I woke up today with a cold sore, I take Famciclovir 500 mg daily for to prevent future outbreak but still got one I know it’s not 100 percent but my question is is that the right type of Rx to be on daily? Also since I had an outbreak today should I ask my MD for an increased dose/rx for three days?  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
I personally don't use Famvir.  The FDA approved dose for cold sores is 2 grams of valacyclovir, then 12 hours later 2 grams again, at the very first sign of a cold sore.  I would recommend talking to your physician about what the dosing should be for famvir as I am unfamiliar with any recommended dosing of this drug for cold sores.  If you decide to switch to valacyclovir to treat cold sores, it would best to have this medicine already at home so that you can dose at the first symptom of a cold sore rather than having to wait for a prescription refill.

Terri
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24 months ago
What is the recommended Rx and dose for daily susspreasion 
24 months ago
I’m sorry I clicked submit on accident, what are is the correct dosage/Rx  recomended for suppression ? When I initially when to my PCP  she was completely clueless honestly she had to look up Famvir and just prescribed that. Is there someone who I can go to like a dermatologist who can better answer my questions? I feel out of the loop I was freaking out because I feel I wasn’t getting the right info 

Thanks !
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
24 months ago
The recommended dose for suppression has not been established BUT I would suggest 500 mg of valacyclovir once a day or acyclovir 400 mg twice a day.  That is the dose for HSV 2 and I think it is just fine for HSV 1 for suppression. 

Terri
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