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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Cracks And Bleeding On The Lips Despite Using Valaciclovir And Triamcinolone?

I have had this problem for 4-5 months-My lips start to hurt for a day or so and then they crack and bleed. I ve been treated as if they are cold sores, but I never get blisters. The meds they gave me were Valcycalvor. It didn t seem to do anything. Another doctor gave me Triamicinolone ointment and that doesn t help either. I treat them with Aquaphor and that helps to keep them from cracking and bleeding during the day~not so good at night. Been to two family doctors, a dermatologist and my dentist . Mostly they don t have any answers~Today my dentist gave me a prescription for Acyclovir 800 mg. Don t know whether I should take it or not!!
Thu, 24 May 2018
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Dentist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

As per your query you have symptoms of painful cracks and bleeding on the lips despite using Valaciclovir and Triamcinolone which seems to be due to removal of natural moist layer of lips and could be due to contact dermatitis. Need not to worry. I would suggest you to

- You should apply topical antibiotics as well such as 2% mupirocin ointment.- Drink plenty of water and take diet rich in multivitamins.
- Avoid touching or pricking rashes.
- Avoid exposure to sunlight. If symptoms keeps on persisting visit dermatologist once and get complete examination done and start treatment accordingly. You can start antiviral medication prescribed by your physician.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Painful Cracks And Bleeding On The Lips Despite Using Valaciclovir And Triamcinolone?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query you have symptoms of painful cracks and bleeding on the lips despite using Valaciclovir and Triamcinolone which seems to be due to removal of natural moist layer of lips and could be due to contact dermatitis. Need not to worry. I would suggest you to - You should apply topical antibiotics as well such as 2% mupirocin ointment.- Drink plenty of water and take diet rich in multivitamins. - Avoid touching or pricking rashes. - Avoid exposure to sunlight. If symptoms keeps on persisting visit dermatologist once and get complete examination done and start treatment accordingly. You can start antiviral medication prescribed by your physician. Hope I have answered your query. Let me know if I can assist you further.