About Cold Sores, Herpes Simplex Virus
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What causes cold sores?
The herpes simplex virus. While there are 8 types of herpes viruses, it is mostly type 1 and occasionally type 2 that cause cold sores, which are also known as fever blisters, oral herpes, or herpes labialis. Recurrent cold sores are almost always caused by the type 1 virus.
Why do some people get cold sores so frequently?
The majority of people are exposed to the type 1 herpes simplex virus by direct contact with someone with cold sores before they are 10 years old. Most will develop a mild case of one or two cold sores. Some will have a more severe infection called “gingivostomatitis” that is characterized by dozens of painful cold sores on the tongue, gums, and lips, and often is accompanied by fever and sore throat. In severe cases of gingivostomatitis, children are hospitalized because of dehydration.
After the initial infection, whether mild or severe, the herpes virus that causes cold sores remains dormant, or latent, in the nerve root connected to the lips. Essentially, the virus “hides and waits.” Unrelated to the severity of the first episode of cold sores, and for unknown reasons, about 25% of exposed individuals will go on to have recurrent cold sores for the rest of their lives. Generally, the virus will be reactivated and cause cold sores as a response to stress, tiredness, illness, sunlight, fever, diet, menstruation or pregnancy. The frequency of outbreaks decreases after age 35.
What cold sore treatments are available?
There is no available cure for recurrent cold sores. Treatments that decrease pain and speed healing include the topical creams acyclovir (Zovirax®), docosanol (Abreva®) or penciclovir (Denavir®). Oral medications include oral acyclovir (Zovirax®), oral famciclovir (Famvir®), and oral valacyclovir (Valtrex®).
What new cold sore treatments are being studied?
New antiviral medications are being developed, as are new routes of administration of existing medications. In one study conducted at Rochester Clinical Research, the medication acyclovir (Zovirax®) was administered in a tablet that adheres to the patient’s upper gum and gets slowly absorbed, targeting the release of the medication to the area of the body affected by the herpes simplex virus.
Click here to learn more and to see if you qualify for our cold sores research study that is currently seeking volunteers.
For information on the herpes simplex virus:
Wikipedia: Herpes simplex
For more information on cold sores:
eMedicineHealth.com: Cold Sores
MayoClinic.com: Cold Sores
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Rochester Clinical Research performs clinical research trials and studies for pharmaceutical and biotechnology companies. We rapidly recruit and screen quality volunteers to participate in clinical studies, and we maintain a large database of volunteers. Study volunteers receive free study-related medical care, investigational medicines, and a monetary stipend to compensate for their time and travel. RCR studies include therapeutic areas and drug categories such as weight loss, diabetes, hypertension, high cholesterol, flu vaccines, and smoking cessation. Our state-of-the-art medical office facility is staffed by highly qualified, caring physicians, investigators, and nurses. RCR is located in Rochester NY and serves the Finger Lakes region of New York. RCR is a WBENC-Certified Women's Business Enterprise.






