Cold Sore laser treatment protocol

RAU (recurrent aphthous ulcer) cause – Autoimmune. Chrohns, HIV, Bechets. Citrus fruit, trauma, stress, lack of sleep, immune system reactions, deficiency of b12, iron, or folic acid. Hormonal fluctuations. Sodium Lauryl sulfate

Cold sore cause = HSV 1

Cold sore healing just a few days after laser treatment

Energy up to .8-1.2W Un-initiated tip. Notice very little change except in vesicular herpetic lesion that “dries up”. Start 5-6mmm go to 2-3mm. “Paint” entire area from outside in

1. 1.2W pulse 30-45 seconds
2. Touch with glove check pain level wait 15-20 second cool down
3. 1.4W pulse 30-45 seconds
4. Touch with glove check pain level wait 15-20 second cool down
5. 1.6W pulse 30-45 seconds
6. No more. 2 minute max total

What can I do to prevent cold sores (fever blisters)?

Reduce stress, exercise, and eat right. The virus reactivates when your body is worn down. Easier things to do are avoid direct stress to your lips, such as sun and wind damage. Remember they are very contagious from the time they rupture until the time they heal; and even though many that get infected do not have symptoms you do not want any of your loved ones contracting the virus that causes them.

LASER Treatment – To Eliminate

If caught in time (before the vesicle ruptures and begins to crust) the laser is the best treatment that we can offer. We can treat as early as when you first feel the “tingle” and as late as right before the vesicle ruptures (as pictured below). We have used the specific laser that is used to treat cold sores since 2009, but mainly we use it for other purposes. The laser will eliminate an outbreak from occurring if caught very early and significantly reduces both the pain and time if caught before it ruptures. There is a claim that the lesion will not return to the same site ever again! That is great news for those that have lesions recur in the same spot.

Bottom Line.

Go after viral outbreaks with everything we have to help lessen your suffering. Here are the three medications that can be used simultaneously. You will need a prescription for the first two the last one is OTC. You can also hide and protect a cold sore with a Compeed cold sore patch, which is what we use in our office.

#1 Take Valtrex
(Valacyclovir) 2 grams at first signs of symptoms and then 2 more grams 12 hours later. These must be taken before vesicles rupture otherwise it is totally useless. The earlier the better with this medication.

#2 Use Denavir (Penciclovir 1%) and apply the gel to the lesion every 2 hours while awake for 4 days.

#3 Use Abreva (Docosanol 10%) and apply the gel on area 5 times a day until lesion is gone.

Be sure to wash hands after applying the gels so that you do not spread the infection to others, or better yet apply the gels with a q-tip so as not to touch the lesion. Both gels are very safe but do not apply inside your mouth or get any in your eyes. If you have serious renal problems then you may not be able to take the Valacyclovir.

Cold sore about to rupture. At this point we can still use the laser to eliminate the cold sore.

Cold Sores Treatments

There are several medications available to treat cold sores. Some are used topically and others are taken orally. Cold sores are best treated as early as possible. Starting a medication when prodromal symptoms such as burning, tingling, or redness start gives the best chance of keeping the cold sores from developing or shortening their course.

Cold Sore Treatment Effects

• Decrease the time it takes for cold sores to heal
• Reduce symptoms – especially pain
• Prevent lesions from occurring if taken soon enough
• Reduces the number of lesions developed if taken soon enough
• The size of lesions are smaller if taken soon enough
• Reduces the amount of viral shedding

Cold Sore Treatment – Valacyclovir

Cold Sore Treatment – Topical Denavir

Cold Sore Treatment – Acyclovir

ABREVA (Docosanol 10%) is the only non-prescription medication proven to shorten healing time. Docosanol is not classified as an antiviral as are all other FDA cold sore medications are. They are classified as antivirals because their activity occurs in virus-infected cells. Docosanol’s mode of action is different. Its mode of action takes place only in healthy cells, where it works on the cell membrane to help inhibit the ability of the virus to fuse with the cell membrane. This makes the virus less likely to enter the cell to begin the process of infection.

Cold Sore Treatment – Suppression Therapy