Herpes simplex (herpes infection): treatment and prevention

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

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

Etiotropic treatment of herpes simplex (herpetic infection)

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

Antiviral drugs used to treat herpes infection

Anti-viral drug	Localization of herpetic infection	Dose and duration of the course	The route of administration
Acyclovir	Lesion of the skin and mucous membranes	250 mg 3 times daily for 7-10 days	Intravenously
	Appearance of skin and mucous membranes	200 mg 5 times a day 10 days	Inside
	Lesion of the skin, mucous membranes, genital infection	5% ointment 4-6 applications per day until healing	Locally
	Prevention of recurrence of herpetic infection of the skin of the mucous membranes, genital infection	5 mg kg 2-3 times a day during the expected relapse	Intravenously
	Recurrence of genital herpes	200 mg 4-5 times a day 2-3 months	Inside
	Prevention of recurrence of genital herpes	400 mg twice 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	Defeat of the skin. Genital herpes	250 thousand units 2 times a day 10 days	Intravenously in isotonic solution
Viferon (interferon alfa-2)	Lesion of the skin, genital herpes	1 million ME	Rectal Candles
Alpisarin	Lesion of the skin and mucous membranes	0.1 g 3-4 times a day for 10 days	Inside
	Lesion of the skin and mucous membranes	5% ointment 4-6 applications per day	Locally
Gossipol	Lesion of the skin and mucous membranes	2% ointment for mucous membranes 4-6 applications per day	Locally
	Lesion of the skin and mucous membranes	3% liniment is applied to the affected skin	Locally
Helepin	Lesion of the skin and mucous membranes	0.2 g 3 times a day for 5-7 days	Inside
	Lesion of the skin and mucous membranes	5% ointment 4-6 applications per day until healing	Locally
	Lesion of the skin and mucous membranes	1% ointment for mucous membranes	Locally
Reaferon (interferon alfa-2)	Lesion of the skin, genital herpes	250-500 thousand, ED 2 times a day for 10 days	Intravenously in isotonic solution

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

Pathogenetic treatment of herpes simplex (herpetic infection)

• Anti-inflammatory drugs (NSAIDs - indomethacin, etc., systemic enzymes - vobenzyme).
• Desensitizing drugs are antihistamines and antiserotonin agents.
• Immunomodulators - inducers of interferon (tsikloferon, neovir, ridostin, poludan, pyrogenal, prodigiozan, etc.), antioxidants, probiotics.
• Preparations that stimulate regenerative and reparative processes (solkoseril, rosehip oil, sea buckthorn oil).

When treating meningoencephalitis use detoxification and anti-inflammatory drugs, dexamethasone 0.5 mg / kg. Dehydration, detoxification and anticonvulsant treatment of herpes simplex (herpetic infection) is carried out.

Prevention of recurrences of herpetic infection is carried out taking into account the localization of the process (labial, genital herpes), the frequency of recurrence, immune and interferon status of the body, which are investigated during the inter-recessive period. In the presence of violations in the immune system, administer imunofan 1 ml intramuscularly every other day, ten injections per course. With a deficiency in the interferon system, imunofan alternates with interferon preparations (leukinferon). Natural adaptogens (eleutherococcus, echinacea) are shown. Against the background of non-specific prophylaxis, Vitagerpack vaccine is administered: 0.2 ml intradermally once a week, five injections.

Approximate terms of incapacity for work

Terms of incapacity for work depend on the form and severity of the disease. In most cases of herpetic lesions of the skin and mucous membranes, the capacity for work is not impaired or is disrupted for a short time (up to 5 days). With the defeat of the central nervous system, eyes, generalized forms of the disease, the period of incapacity for work is determined individually.

[10], [11], [12]

Clinical examination

Herpes simplex (herpetic infection) does not need medical examination. Clinical follow-up needs patients who have suffered herpetic lesions of the central nervous system, and those with frequently recurrent herpes to perform anti-relapse treatment.

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

How to prevent herpes simplex (herpetic infection)?

Prevention of herpes simplex (herpetic infection) is aimed at preventing the recurrence of herpes infection by the combined use of antiviral drugs, anti-herpes vaccines and immunomodulators.