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Medical dermatology

HSV — Cold Sores & Shingles

Prescription antiviral therapy for oral and genital herpes outbreaks, suppression, and shingles (herpes zoster) — started early for best results.

Cold sores (HSV-1)

Tingling, burning, then fluid-filled blisters on or around the lips. Prescription antivirals shorten outbreaks and can be taken daily to reduce frequency.

Genital herpes (HSV-2)

Similar pattern in the genital area. Suppressive therapy reduces transmission risk and outbreak frequency.

Shingles (herpes zoster)

Painful blistering rash in a band on one side of the body. Early antiviral treatment reduces duration, pain, and risk of post-herpetic neuralgia. Vaccination (Shingrix) is recommended for adults 50+.

Frequently asked questions

Can I get antivirals for suppression?
Yes — daily valacyclovir is safe long-term for most patients and significantly reduces outbreak frequency.

Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.

Trusted sources

This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

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Real patient results from Miami Skin Center.

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