Herpes simplex (cold sores)
Pharmacy First - Cold sores
Treatment should be applied for 5 days, but can be continued for a further 5 days if cold sore is still not healed.
Aciclovir
Aciclovir 5% cream
Dose according to age and product licence.
Prescribing Notes:
- It is best applied at the earliest possible stage, when prodromal changes of sensation are felt in the lip and before vesicles appear.
- Limited absorption from topical aciclovir therefore, use in pregnancy if benefit outweighs risk.
Examples of Counselling Points
Wash hands regularly to avoid spreading the virus.
Use a separate towel for the cold sore area.
When to advise patient to contact GP
Babies and young children.
Child with fever.
Failure of an established sore to resolve.
Severe or worsening sore.
History of frequent cold sores.
Sore lasting longer than 2 weeks.
Painless sore.
Patients with atopic eczema.
Eye affected.
Uncertain diagnosis.
Immunocompromised patient.
History Notes
27/10/2020
Content migrated from ‘East Region Formulary: Pharmacy First - supporting minor ailments’ document.