Most cold sores heal on their own without prescription medicines. But some antiviral medicines (such as acyclovir or famciclovir) when taken orally (tablets) may be helpful in reducing the frequency and severity of attacks of cold sores.
Doctors may prescribe oral antiviral medicines that can be taken daily to prevent future outbreaks of cold sores. These medicines may also be given during periods of increased risk of getting cold sores (such as during cosmetic surgery or sun exposure).
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A lower dose of oral acyclovir is needed for people who have reduced kidney function.
Famciclovir (Famvir) is sometimes used to treat the herpes virus that causes cold sores and genital herpes (as well as the virus that causes shingles). This medicine is available only by prescription and is taken orally in tablet form.
If you are pregnant or nursing, you should talk with your doctor before taking famciclovir.
This medicine is not recommended for people who have had an allergic reaction to it in the past.