What are the common side effects of Abreva. How does Docosanol Topical work to treat cold sores. When should you start using Abreva for best results. What precautions should be taken when using this medication.

What is Abreva and How Does It Work?

Abreva is an over-the-counter medication containing the active ingredient docosanol, used to treat cold sores. It works by preventing the herpes simplex virus from entering healthy skin cells, thereby shortening the duration of cold sore outbreaks.

Is Abreva effective for all types of cold sores? While Abreva is specifically designed to treat cold sores caused by the herpes simplex virus, it may not be effective against other types of oral lesions. It’s important to correctly identify the cause of your symptoms before beginning treatment.

Common Side Effects of Abreva

While Abreva is generally well-tolerated, some users may experience side effects. The most commonly reported side effects include:

• Mild skin irritation at the application site
• Redness
• Itching
• Dryness

Are these side effects serious? In most cases, these side effects are mild and temporary. However, if you experience severe irritation or an allergic reaction, discontinue use and seek medical attention immediately.

Proper Usage and Application of Abreva

To maximize the effectiveness of Abreva and minimize potential side effects, it’s crucial to use the medication correctly:

1. Apply at the first sign of a cold sore
2. Wash hands before and after application
3. Gently rub a small amount onto the affected area
4. Use up to 5 times daily
5. Continue treatment for up to 10 days

Can Abreva be used preventatively? Abreva is not intended for preventive use. It should only be applied when you feel the tingling or burning sensation that precedes a cold sore outbreak.

Precautions and Warnings When Using Abreva

Before using Abreva, consider the following precautions:

• Do not use on children under 12 without consulting a doctor
• Avoid ingesting the medication
• Do not use on open wounds or damaged skin
• Inform your healthcare provider of all medications you’re taking
• Consult a doctor if symptoms persist or worsen after 10 days of treatment

Can Abreva be used during pregnancy or while breastfeeding? While no adverse effects have been reported, pregnant or nursing women should consult their healthcare provider before using Abreva.

Potential Drug Interactions with Abreva

Abreva is a topical medication with minimal systemic absorption, which reduces the risk of drug interactions. However, it’s always wise to inform your healthcare provider about all medications, supplements, and topical products you’re using.

Does Abreva interact with common oral medications? There are no known significant interactions between Abreva and oral medications. However, always consult your pharmacist or doctor if you have concerns about potential interactions.

Herbal Supplements and Abreva

While no specific interactions have been reported between Abreva and herbal supplements, it’s best to exercise caution. Some herbs, such as echinacea or St. John’s Wort, may affect immune function and potentially interact with the treatment of viral infections like cold sores.

Recognizing and Managing Allergic Reactions to Abreva

Although rare, some individuals may experience an allergic reaction to Abreva. Symptoms of an allergic reaction may include:

• Severe rash or hives
• Itching or swelling, especially of the face, tongue, or throat
• Severe dizziness
• Difficulty breathing

What should you do if you suspect an allergic reaction to Abreva? If you experience any of these symptoms, stop using the medication immediately and seek emergency medical attention.

Alternative Treatments for Cold Sores

While Abreva is a popular and effective treatment for cold sores, some individuals may prefer alternative options:

• Other over-the-counter treatments containing benzyl alcohol or dimethicone
• Prescription antiviral medications like acyclovir or valacyclovir
• Natural remedies such as lemon balm or tea tree oil
• Cold or warm compresses to alleviate discomfort

Are natural remedies as effective as Abreva for treating cold sores? While some natural remedies may provide relief, their effectiveness has not been as thoroughly studied as that of Abreva. It’s best to consult with a healthcare provider to determine the most appropriate treatment for your situation.

Long-term Management of Cold Sores

While Abreva can effectively treat individual cold sore outbreaks, managing recurrent cold sores requires a comprehensive approach:

1. Identify and avoid triggers (stress, certain foods, sun exposure)
2. Maintain a healthy lifestyle to support immune function
3. Use sun protection on the lips and face
4. Consider daily antiviral medication for frequent outbreaks
5. Practice good hygiene to prevent spreading the virus

Can lifestyle changes reduce the frequency of cold sore outbreaks? Yes, many people find that managing stress, getting adequate sleep, and maintaining a balanced diet can significantly reduce the frequency and severity of cold sore outbreaks.

The Role of Diet in Cold Sore Prevention

While Abreva treats active cold sores, dietary choices may play a role in preventing outbreaks. Foods rich in lysine (such as fish, chicken, and eggs) may help, while foods high in arginine (like nuts and chocolate) might trigger outbreaks in some individuals.

Understanding the Limitations of Abreva

While Abreva is an effective treatment for many cold sore sufferers, it’s important to understand its limitations:

• It does not cure the underlying herpes simplex virus
• It may not be effective for everyone
• It works best when applied at the earliest signs of an outbreak
• It does not prevent future outbreaks

Is Abreva more effective than prescription antiviral medications? For many people, Abreva is comparable in effectiveness to prescription options. However, individuals with severe or frequent outbreaks may benefit more from prescription treatments.

Combining Abreva with Other Treatments

Some individuals find that combining Abreva with other treatments enhances their cold sore management. This might include using Abreva alongside oral antiviral medications or complementing it with natural remedies like lysine supplements.

The Importance of Proper Storage and Disposal of Abreva

To maintain the effectiveness and safety of Abreva, proper storage and disposal are crucial:

• Store at room temperature, away from direct sunlight
• Keep the cap tightly closed when not in use
• Do not use after the expiration date
• Dispose of unused medication properly, following local guidelines

Can expired Abreva be harmful? While using expired Abreva is unlikely to be harmful, it may be less effective. It’s best to replace the product once it has expired.

Travel Considerations for Abreva Users

If you’re prone to cold sores and planning to travel, consider these tips for using Abreva on the go:

• Pack Abreva in your carry-on luggage for easy access
• Be aware of climate changes that might trigger outbreaks
• Consider purchasing a travel-sized tube for convenience

The Future of Cold Sore Treatment: Beyond Abreva

While Abreva remains a popular and effective treatment for cold sores, ongoing research continues to explore new avenues for managing herpes simplex virus infections:

• Development of new antiviral compounds
• Exploration of immunotherapy approaches
• Investigation of gene editing techniques to target the virus
• Research into preventive vaccines

Will there ever be a cure for cold sores? While a complete cure for herpes simplex virus infections remains elusive, ongoing research holds promise for more effective treatments and potential preventive measures in the future.

Participating in Cold Sore Research

For those interested in contributing to the advancement of cold sore treatments, participating in clinical trials can be an option. These studies help researchers evaluate new therapies and improve understanding of the condition.

Addressing Common Myths About Abreva and Cold Sores

There are several misconceptions surrounding Abreva and cold sores that may influence treatment decisions:

• Myth: Abreva can prevent cold sores
• Fact: Abreva treats active cold sores but does not prevent future outbreaks
• Myth: Cold sores only affect the mouth area
• Fact: While most common around the mouth, cold sores can appear on other parts of the face and body
• Myth: Abreva is only effective for oral herpes
• Fact: Abreva is specifically formulated for oral herpes (HSV-1) and may not be effective for genital herpes (typically HSV-2)

Do cold sores always recur in the same spot? While cold sores often recur in the same general area, they may not appear in exactly the same spot each time. The virus resides in nearby nerve cells and can affect slightly different areas of skin with each outbreak.

The Psychological Impact of Cold Sores

Beyond the physical discomfort, cold sores can have significant psychological effects. Abreva’s role in shortening outbreak duration can help mitigate some of these impacts:

• Reduced self-esteem during outbreaks
• Social anxiety and avoidance behaviors
• Stress about potential transmission to partners
• Frustration with recurrent nature of the condition

Integrating Abreva into a Comprehensive Cold Sore Management Plan

While Abreva is an effective treatment, managing cold sores often requires a multi-faceted approach:

1. Use Abreva at the first sign of an outbreak
2. Practice stress reduction techniques
3. Maintain a healthy diet and exercise routine
4. Use sun protection on lips and face
5. Consider supplements like lysine or zinc
6. Consult with a healthcare provider for severe or frequent outbreaks

Can lifestyle changes completely prevent cold sore outbreaks? While a healthy lifestyle can significantly reduce the frequency and severity of outbreaks, it may not completely prevent them. The herpes simplex virus remains dormant in the body and can reactivate under certain conditions.

The Role of Stress Management in Cold Sore Prevention

Stress is a common trigger for cold sore outbreaks. Incorporating stress management techniques into your routine can complement the use of Abreva:

• Regular exercise
• Meditation or mindfulness practices
• Adequate sleep
• Time management strategies
• Seeking support when needed

Conclusion: Maximizing the Benefits of Abreva

Abreva offers an effective over-the-counter solution for managing cold sore outbreaks. By understanding its proper use, potential side effects, and limitations, users can maximize its benefits while minimizing risks. Remember that Abreva is just one part of a comprehensive approach to cold sore management, which may include lifestyle changes, stress reduction, and consultation with healthcare providers for severe or frequent outbreaks.

As research continues to advance our understanding of the herpes simplex virus and potential treatments, individuals affected by cold sores can look forward to potentially more effective management strategies in the future. In the meantime, proper use of Abreva, combined with a holistic approach to health and well-being, can significantly improve quality of life for those dealing with recurrent cold sores.

Memorial Sloan Kettering Cancer Center

Adult Medication

This information from Lexicomp^® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.

Brand Names: US

Abreva [OTC]

What is this drug used for?

• It is used to treat cold sores.

What do I need to tell my doctor BEFORE I take this drug?

• If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.

This drug may interact with other drugs or health problems.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug?

• Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
• Talk with your doctor before you use other drugs or products on your skin.
• This drug may cause harm if swallowed. If this drug is swallowed, call a doctor or poison control center right away.
• Do not give this drug to a child younger than 12 years old without first checking with the doctor.
• Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Severe irritation where this drug was used.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to your national health agency.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

How is this drug best taken?

Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Do not take this drug by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn).
• Use at the first sign of a cold sore.
• Wash your hands before and after use.
• Put on affected part and rub gently.
• Makeup may be used after the skin has dried.
• Do not rub the cold sore. Rubbing the cold sore may make it worse. It may also cause the cold sore to spread to other areas around the mouth.

What do I do if I miss a dose?

• Put on a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not put on 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?

• Store at room temperature. Do not freeze.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

General drug facts

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else’s drugs.
• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider’s examination and assessment of a patient’s specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www. wolterskluwer.com/en/know/clinical-effectiveness-terms.

Last Reviewed Date

2020-08-12

Copyright

© 2023 UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

Last Updated

Monday, December 12, 2022

docosanol topical

What is the most important information I should know about docosanol topical?

Cold sores are contagious before, during and after an outbreak or when blisters are present. Cold sore sufferers should avoid close physical or intimate contact, such as kissing, when having an outbreak.

Do not share docosanol topical with anyone. Sharing may spread the infection.

Avoid getting this medication in the eyes or mouth.

What is docosanol topical?

Docosanol is an antiviral medication used to treat cold sore infections caused by the herpes simplex virus. Docosanol shortens the healing time and the length of time symptoms are present.

Docosanol topical is used to treat cold sores on the face and lips.

Docosanol may also be used for purposes other than those listed in this medication guide.

Who should not use docosanol topical?

Before using docosanol topical, tell your doctor if you have any other medical conditions or if you use any other medications.

The FDA has not evaluated the effects of docosanol topical used during pregnancy. Do not use docosanol topical without first talking to your doctor if you are pregnant.

It is not known whether docosanol topical passes into breast milk. Do not use docosanol topical without first talking to your doctor if you are breast feeding a baby.

Docosanol topical is not approved for use by children younger than 12 years old.

How should I apply docosanol topical?

Use docosanol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after applying docosanol topical.

Docosanol topical should be applied at the very first sign of a cold sore, such as the tingle, redness, bump, or itch.

Docosanol topical is a smooth, white cream that dries clear. It won’t sting or burn and it has no medicinal smell or taste.

Remove any cosmetics before applying docosanol topical. Apply enough docosanol topical to completely cover the cold sore or fever blister and rub in gently and completely.

Docosanol topical is usually applied five times a day until healed. Stop using docosanol topical and see your doctor if the cold sore gets worse or the cold sore is not healed with in 10 days.

If at any time the medication is accidentally removed, re-apply it as soon as possible.

Cosmetics, such as lipstick, may be applied over docosanol topical. However, use a separate applicator, such as cotton swab, to apply cosmetics over an unhealed cold sore to avoid spreading the infection.

Do not share docosanol topical with anyone. Sharing may spread the infection.

Avoid getting this medication in the eyes or mouth.

Store docosanol topical at room temperature away from moisture and heat. Do not freeze.

What happens if I miss a dose?

Apply the missed dose as soon as you remember, then re-apply the next dose on schedule. It does not matter if the time interval between those doses is reduced.

What happens if I overdose?

An overdose of this medication is not likely to occur. If you suspect an overdose or ingestion of docosanol topical, call an emergency room or poison control center for advice.

What should I avoid while using docosanol topical?

Cold sores are contagious before, during and after an outbreak or when blisters are present. Cold sore sufferers should avoid close physical or intimate contact, such as kissing, when having an outbreak.

Cosmetics, such as lipstick, may be applied over docosanol topical. However, use a separate applicator, such as cotton swab, to apply cosmetics over an unhealed cold sore to avoid spreading the infection.

Do not share docosanol topical with anyone. Sharing may spread infection.

What are the possible side effects of docosanol topical?

No serious side effects are expected with docosanol topical treatment. If you suspect an allergic reaction (difficulty breathing; rash; hives; itching; swelling of your lips, tongue, or face) seek emergency medical attention.

Other less serious side effects are also uncommon. Headache has been reported.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect docosanol topical?

It is not known whether docosanol topical will interact with other medications. Tell your doctor and pharmacist about all other medicines you are using, especially other topical preparations, and talk to your doctor and pharmacist before using any prescription or over-the-counter medicines during treatment with docosanol topical.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2018 Cerner Multum, Inc. Version: 1.07. Revision date: 12/3/2013.

Your use of the content provided in this service indicates that you have read, understood and agree to the End-User License Agreement, which can be accessed by End-User License Agreement, which can be accessed by clicking on this link.

• Top of Page

Abreva (docosanol cream) side effects, warnings, directions for use

Abreva

• Generic Name: Docosanol Cream
• Brand Name: Abreva

• Overview
• Professional Information
• Related Resources

Side Effects Center Abreva

Medical Editor: John P. Cunha, DO, FACOEP

Abreva (docosanol cream) is a herpes simplex/herpes treatment used to treat cold sores/fever blisters on the face or lips. This reduces healing time and the duration of symptoms such as tingling, pain, burning and/or itching. Abreva is available both generic and over-the-counter (OTC). Side effects of Abreva are rare and may include:

• itchy skin,
• rash, and
• redness at the injection site

Apply enough Abreva cream to completely hide a cold. sick and follow the instructions on the package. Rub gently but completely. Use 5 times a day until cold sores/blisters heal. Abreva may interact with other drugs. Tell your doctor about all medications and supplements you are taking. Tell your doctor if you are pregnant or planning to become pregnant before using Abreva. Consult your doctor before breastfeeding.

Our Abreva Side Effects Center (docosanol cream) provides a comprehensive overview of available drug information and potential side effects when taking this medication.

This is not a complete list of side effects and they may occur. Ask your doctor about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Abreva Consumer Information

Get emergency medical help if you have signs of an allergic reaction : urticaria; feeling of dizziness; wheezing, difficulty breathing; swelling of the face, lips, tongue, or throat.

Less serious side effects may be more likely, and you may not have them at all.

This is not a complete list of side effects and they may occur. Ask your doctor about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Abreva (Docosanol Cream)

Learn More ‘ Abreva Professional Information

SIDE EFFECTS

No information provided.

Read all FDA Prescribing Information for Abreva (Docosanol Cream)

Read More’ Related Resources for Abreva

Concomitant Drugs

• Denavir
• Famvir
• Valcyte
• Valtrex

• Zovirax
• Zovirax cream
• Zovirax Injection
• Zovirax Ointment

Abreva Patient Information is provided by Cerner Multum, Inc. and Abreva Consumer Information is provided by First Databank, Inc., used under license and subject to their respective copyrights.

Abreva (Docosanol Cream) Side Effects, Images, Usage, Dosage, Overdose at RxList

Abreva

• Generic Name: Docosanol Cream
• Brand Name: Abreva

• Images and Side Effects
• How to Take
• Avoid Taking

Abreva including side effects

Brand names: Abreva, Abreva Pump

Generic name: topical docosanol

• What is topical for docosanol (Abreva, Abreva Pump)?
• What are the possible side effects of topical docosanol (Abreva, Abreva Pump)?
• What is the most important information I should know about topical docosanol (Abreva, Abreva Pump)?
• What should I discuss with my doctor before using docosanol (Abreva, Abreva Pump)?
• How should I use topical docosanol (Abreva, Abreva Pump)?
• What happens if I miss a dose (Abreva, Abreva Pump)?
• What happens if I overdose (Abreva, Abreva Pump)?
• What should I avoid while using topical docosanol (Abreva, Abreva Pump)?
• What other drugs will affect topical docosanol (Abreva, Abreva Pump)?
• Where can I get more information (Abreva, Abreva Pump)?

What is relevant for docosanol (Abreva, Abreva Pump)?

Docosanol topical (skin) is used to treat cold sores on the face and lips.

Docosanol may also be used for purposes not listed in this medication guide.

What are the possible side effects of topical docosanol (Abreva, Abreva Pump)?

Get emergency medical help if you have signs of an allergic reaction : hives; feeling of dizziness; wheezing, difficulty breathing; swelling of the face, lips, tongue, or throat.

Less serious side effects may be more likely, and you may not have them at all.

This is not a complete list of side effects and they may occur. Ask your doctor about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

What is the most important information I should know about topical docosanol (Abreva, Abreva Pump)?

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Follow all directions on the medicine label and container. Tell each of your health care providers about all your illnesses, allergies, and any medications you take.

Information for Abreva patients, including how I should take

What should I discuss with my doctor before using docosanol (Abreva, Abreva Pump)?

progesterone 200 mg capsule side effects

You should not use docosanol topical if you are allergic to it.

Talk to your doctor before using this medicine if you are pregnant or breastfeeding.

Do not use this medicine on children under 12 years of age without consulting a doctor.

How should I use docosanol topical (Abreva, Abreva Pump)?

Use exactly as directed on the label or as directed by your healthcare professional.

Do not take orally. The topical medicine is for use on the skin only. If medicine gets into eyes or mouth, rinse with water.

Use this medicine at the first sign of cold sores, such as tingling, redness, itching, or a blister.

Wash hands before and after applying docosanol.

Remove all cosmetics before using docosanol. Apply enough medication to completely cover the cold sore. Rub gently and completely.

Call your doctor if your symptoms do not improve within 10 days or if they get worse.

Store at room temperature away from moisture and heat. Do not freeze.

Abreva patient information, including the missed dose

What happens if I miss a dose (Abreva, Abreva Pump)?

Give the medicine as soon as possible, but skip the missed dose if it is almost time for the next dose. Do not administer two doses at a time.

What happens if I overdose (Abreva, Abreva Pump)?

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Docosanol overdose is not expected to be dangerous. Seek emergency medical attention or call the Poison Helpline at 1-800-222-1222 if anyone has accidentally swallowed the medicine.

What should I avoid while using topical docosanol (Abreva, Abreva Pump)?

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Do not give this medicine to another person.