Topical n-docosanol for management of recurrent herpes labialis

  title={Topical n-docosanol for management of recurrent herpes labialis},
  author={Nathaniel Simon Treister and Sook-Bin Woo},
  journal={Expert Opinion on Pharmacotherapy},
  pages={853 - 860}
Importance of the field: Recurrent herpes labialis (RHL) is a significant disorder with social and health consequences that affects upwards of 20 – 40% of the adult population. Docosanol is the only FDA-approved topical agent that is available over the counter for management of RHL. Its mechanism of action is unique compared with other available antiviral agents. Areas covered in this review: The authors conducted a comprehensive search of the published preclinical and clinical literature on… 
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Clinical efficacy of topical docosanol 10% cream for herpes simplex labialis: A multicenter, randomized, placebo-controlled trial.
Docosanol applied 5 times daily is safe and effective in the treatment of recurrent HSL and differences in healing time compared favorably with those reported for the only treatment of HSL that has been approved by the Food and Drug Administration.
Therapeutic options for herpes labialis, I: Oral agents.
Oral treatment options for herpes labialis are reviewed and several therapeutic agents, both prescription and over-the-counter, are available for controlling and managing the disease.
Failure of acyclovir cream in treatment of recurrent herpes labialis.
A further larger scale, double blind, placebo controlled, parallel group trial is desirable and the recent completion of such a study in France is reported and the increased benefit of early therapy is clearly shown.
Therapeutic options for herpes labialis, II: Topical agents.
In the second part of this series, this work reviews topical therapeutic agents that are available in the treatment of herpes labialis and its associated symptoms.
Management of recurrent oral herpes simplex infections.
  • S. Woo, S. Challacombe
  • Medicine
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
  • 2007
Early, patient-initiated treatment of herpes labialis with topical 10% acyclovir
Topical acyclovir in polyethylene glycol was ineffective for the treatment of herpes labialis despite an optimum therapeutic opportunity.
Treatment of recurrent herpes simplex labialis with oral acyclovir.
Oral acyclovir alleviated some of the clinical manifestations of herpes simplex labialis and hastened lesion resolution among the patients who could start treatment in the prodrome or erythema lesion stage.
n-Docosanol 10% cream in the treatment of recurrent herpes labialis: a randomised, double-blind, placebo-controlled study.
Application of n-Docosanol 10% cream early in the prodromal or erythema stage of a recurrent episode of herpes labialis shortened mean healing time by approximately 3 days, as compared to late treatment with n-docosanol10% cream and early or late treatmentWith the placebo.
The natural history of recurrent herpes simplex labialis: implications for antiviral therapy.
Pain, lesion size, mean virus titers from lesion swabs, and frequency of virus-positive lesions were maximal during the first 24 hours and decreased thereafter, and maximum lesion virus titer after the first visit.
Effective treatment of herpes simplex labialis with penciclovir cream: combined results of two trials.
The largest data set currently available on the treatment of recurrent HSL revealed that penciclovir cream significantly outperformed the placebo in healing classical lesions and resolution of pain.