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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Prednisone And Acyclovir Advisable To Treat Cold Sores In The Nose?

i have these cold sore like pollups in my nose each side andon my right handi have what only be descibed as blood bisters look like burns at end of each finger they hurt bad like burns and they jusst appeared 4 days ago and gotten worse the er doctor said herpes in nose and rash on others gave me prendisone and acyclover personally dont sound roght what could it be ?
Mon, 3 Oct 2016
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Ayurveda Specialist 's  Response
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Thanks for contacting HCM with your health concern

1. Since symptoms are of acute onset with burning sensation thus could possibly be herpes zoster infection, so before opting for any treatment do consult a Dermatologist or Infectious disease specialist who might ask for history of chicken pox in the past [could be reactivation infection of the chickenpox virus]

2. Vesicle over the tip of the nose is always associated with corneal involvement thus acyclovir eye drops should be used

3. If they are still erupting then tablet herpes [acyclovir], oral steroid and herpex ointment locally are advisable, along with injection Neurobion and capsule B Complex but once the acute stage is over then stop herpex ointment and apply calamine lotion and if there is secondary infection of the vesicles apply soframycin/neomycin ointment

PS. topical steroids are not recommended as studies suggest that they cause the herpes virus to spread instead apply zinc sulfate ointment

4. Maintain personnel hygiene, saline nasal rinsing is helpful, avoid sharing toothbrush,silverware, drinking glass,clothes from family members
. Taking multivitamin [having lysine] and avoid arginine [peanuts,chocolates arginine]
. keep your Immune system healthy [take more of Vitamin C as supplement] but avoid citrus fruits as they aggravate the problem
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Is Taking Prednisone And Acyclovir Advisable To Treat Cold Sores In The Nose?

** Thanks for contacting HCM with your health concern 1. Since symptoms are of acute onset with burning sensation thus could possibly be herpes zoster infection, so before opting for any treatment do consult a Dermatologist or Infectious disease specialist who might ask for history of chicken pox in the past [could be reactivation infection of the chickenpox virus] 2. Vesicle over the tip of the nose is always associated with corneal involvement thus acyclovir eye drops should be used 3. If they are still erupting then tablet herpes [acyclovir], oral steroid and herpex ointment locally are advisable, along with injection Neurobion and capsule B Complex but once the acute stage is over then stop herpex ointment and apply calamine lotion and if there is secondary infection of the vesicles apply soframycin/neomycin ointment PS. topical steroids are not recommended as studies suggest that they cause the herpes virus to spread instead apply zinc sulfate ointment 4. Maintain personnel hygiene, saline nasal rinsing is helpful, avoid sharing toothbrush,silverware, drinking glass,clothes from family members . Taking multivitamin [having lysine] and avoid arginine [peanuts,chocolates arginine] . keep your Immune system healthy [take more of Vitamin C as supplement] but avoid citrus fruits as they aggravate the problem