Herpes simplex (herpes infection) - Treatment and Prevention

Treatment for herpes simplex (herpes infection) is prescribed taking into account the clinical form of the disease.

[ 1 ], [ 2 ], [ 3 ], [ 4 ], [ 5 ]

Etiotropic treatment of herpes simplex (herpes infection)

Etiotropic treatment of herpes simplex (herpetic infection) involves the administration of antiviral drugs. The most effective of these is acyclovir (zovirax, viralex).

Antiviral drugs used to treat herpes infection

Antiviral drug	Localization of herpes infection	Dose and duration of the course	Route of administration
Acyclovir	Lesions of the skin and mucous membranes	250 mg 3 times a day for 7-10 days	Intravenously
	Skin and mucous membrane irritation	200 mg 5 times a day for 10 days	Inside
	Skin lesions, mucous membranes, genital infection	5% ointment 4-6 applications per day until healing	Locally
	Prevention of recurrence of herpes infection of the skin and mucous membranes, genital infection	5 mg/kg 2-3 times a day during the period of expected relapse	Intravenously
	Recurrence of genital herpes	200 mg 4-5 times a day for 2-3 months	Inside
	Prevention of recurrence of genital herpes	400 mg 2 times a day for a long time (up to 6 months)	Inside
	Meningoencephalitis	30 mg/kg 3 times a day for 10 days	Intravenously
Interferon gamma	Skin lesion. genital herpes	250 thousand IU 2 times a day for 10 days	Intravenously in isotonic solution
Viferon (interferon alpha-2)	Skin lesion, genital herpes	1 million ME	Rectal suppositories
Alpizarin	Lesions of the skin and mucous membranes	0.1 g 3-4 times a day for 10 days	Inside
	Lesions of the skin and mucous membranes	5% ointment 4-6 applications per day	Locally
Gossypol	Lesions of the skin and mucous membranes	2% ointment for mucous membranes 4-6 applications per day	Locally
	Lesions of the skin and mucous membranes	3% liniment is applied to the affected areas of the skin	Locally
Helepin	Lesions of the skin and mucous membranes	0.2 g 3 times a day for 5-7 days	Inside
	Lesions of the skin and mucous membranes	5% ointment 4-6 applications per day until healing	Locally
	Lesions of the skin and mucous membranes	1% ointment for mucous membranes	Locally
Reaferon (interferon alpha-2)	Skin lesion, genital herpes	250-500 thousand, U 2 times a day for 10 days	Intravenously in isotonic solution

[ 6 ], [ 7 ], [ 8 ], [ 9 ]

Pathogenetic treatment of herpes simplex (herpes infection)

• Anti-inflammatory drugs (NSAIDs - indomethacin, etc., systemic enzymes - Wobenzym).
• Desensitizing drugs - antihistamines and antiserotonin agents.
• Immunomodulators - interferon inducers (cycloferon, neovir, ridostin, poludan, pyrogenal, prodigiosan, etc.), antioxidants, probiotics.
• Preparations that stimulate regenerative and reparative processes (solcoseryl, rosehip seed oil, sea buckthorn oil).

In the treatment of meningoencephalitis, detoxifying and anti-inflammatory drugs, dexamethasone at 0.5 mg/kg are used. Dehydration, detoxifying and anticonvulsant treatment of herpes simplex (herpes infection) are carried out.

Prevention of relapses of herpes infection is carried out taking into account the localization of the process (labial, genital herpes), the frequency of relapses, the immune and interferon status of the body, which are examined in the interrelapse period. In the presence of disorders in the immune system, imunofan is prescribed at 1 ml intramuscularly every other day, ten injections per course. In case of deficiency in the interferon system, imunofan is alternated with interferon preparations (leukinferon). Natural adaptogens (eleutherococcus, echinacea) are indicated. Against the background of non-specific prevention, the vitagerpavac vaccine is administered: 0.2 ml intradermally once a week, five injections.

Approximate periods of incapacity for work

The period of incapacity depends on the form and severity of the disease. In most cases of herpetic lesions of the skin and mucous membranes, the ability to work is not impaired or is impaired for a short time (up to 5 days). In case of damage to the central nervous system, eyes, generalized forms of the disease, the period of incapacity is determined individually.

[ 10 ], [ 11 ], [ 12 ]

Clinical examination

Simple herpes (herpetic infection) does not require medical examination. Patients who have had herpetic lesions of the central nervous system and individuals with frequently recurring herpes need medical observation for anti-relapse treatment.

[ 13 ], [ 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 ]

How to prevent herpes simplex (herpes infection)?

Prevention of herpes simplex (herpes infection) is aimed at preventing relapses of herpes infection through the combined use of antiviral drugs, antiherpes vaccine and immunomodulators.